SKAGGS COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SKAGGS COMMUNITY HOSPITAL ASSOCIATION (EIN 44-0584290)
- Tax period
- 2010-05-01 to 2011-04-30
- Filed
- 2012-03-14
- IRS object ID
- 201210749349300816
- Schema version
- 2010v3.7
- Note
- A later return for the same period supersedes this one.
- 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 H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-14T15:52:40-05:00 | Timestamp |
| Tax Period End Date | 2011-04-30 | 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 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440584290 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKAGGS COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SKAG | NameControl |
| Phone | 4173357000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 SKAGGS ROAD | AddressLine1 |
| City | BRANSON | City |
| State | MO | State |
| ZIP Code | 65615 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID STRONG | Name |
| Title | CFO | Title |
| Date Signed | 2012-03-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKAGGS REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MR WILLIAM MAHONEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 SKAGGS ROAD | AddressLine1 |
| City | BRANSON | City |
| State | MO | State |
| ZIP Code | 65615 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 184740871 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SKAGGS.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | THE HOSPITAL IMPROVES YOUR LIFE VIA EDUCATION, PREVENTION, AND ADVO- CACY; BY THE USE OF TECHNOLOGY; AND BY PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1410 | TotalNbrEmployees |
| Total Nbr Volunteers | 319 | TotalNbrVolunteers |
| Total Gross UBI | 9000 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -27521 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 686124 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 815832 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 175066005 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 180655469 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 547534 | InvestmentIncomePriorYear |
| Investment Income Current Year | 275234 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 870043 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1199821 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 177169706 | TotalRevenuePriorYear |
| Total Revenue Current Year | 182946356 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1145686 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 140014 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 65707368 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 70944852 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 113087215 | OtherExpensePriorYear |
| Other Expenses Current Year | 112538923 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 179940269 | TotalExpensesPriorYear |
| Total Expenses Current Year | 183623789 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2770563 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -677433 | RevenuesLessExpensesCY |
| Total Assets BOY | 115519812 | TotalAssetsBOY |
| Total Assets EOY | 113507476 | TotalAssetsEOY |
| Total Liabilities BOY | 66285419 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 63197947 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 49234393 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 50309529 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 120915970 | Expense |
| Grants | 99189 | Grants |
| Revenue | 154881040 | Revenue |
| Description | HOSPITAL SERVICES - FOR THE FYE 4/30/2011 SKAGGS REGIONAL MEDICAL CENTER EXPERIENCED A 7.2 PERCENT INCREASE IN PATIENT ADMISSIONS FOR A TOTAL OF 6,896. OUTPATIENT VISITS SAW A 0.8 PERCENT DECLINE FOR A TOTAL OF 93,527 OUTPATIENT VISITS. THE EMERGENCY ROOM HAD NEARLY A 4 PERCENT INCREASE IN VISITS CLIMBING TO 40,398 VISITS. BY RECEIVING THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL (TM) FOR ITS ADVANCED INPATIENT DIABETES. SKAGGS REGIONAL MEDICAL CENTER IS ONE OF ABOUT 25 HEALTHCARE FACILITIES IN THE UNITED STATES TO EARN THE ADVANCED INPATIENT DIABETES CARE CERTIFICATION AND THE FIRST ONE IN MISSOURI TO RECEIVE THE RECOGNITION. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 39138462 | Expense |
| Revenue | 24418332 | Revenue |
| Description | CLINIC SERVICES - FYE 4/30/2011 SAW A 0.2 PERCENT DECREASE IN CLINIC VISITS WITH 133,033 VISITS FOR THE FISCAL YEAR. WITH A FOCUS ON CLINIC OPERATIONS IN FYE 4/30/2011, THE CLINICS STARTED PROCESSES TO IMPROVE ACCESS AND IMPROVE COLLECTIONS OF CO-PAYS. SKAGGS CLINIC STRUCTURE INCLUDES PRIMARY CARE AND SPECIALTY CARE CLINICS. SPECIALTY OFFERINGS INCLUDE: CARDIOLOGY, NEUROLOGY, RHEUMATOLOGY, ENDOCRINOLOGY, PEDIATRICS, OCCUPATIONAL HEALTH, GENERAL SURGERY, AND ORTHOPEDIC SURGERY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2009594 | Expense |
| Grants | 40825 | Grants |
| Revenue | 1347097 | Revenue |
| Description | HOME HEALTH SERVICES - FOR THE FYE 4/30/2011 THERE WERE 10,398 VISITS WHICH WAS A 7.2 PERCENT INCREASE OVER THE PRIOR YEAR. SKAGGS HOME HEALTH SERVICES WERE ENHANCED THIS FISCAL YEAR WITH THE ADDITION OF HOME MONITORING UNITS FOR THE ROUTINE MONITORING OF PATIENTS VITALS. THE HOME HEALTH SERVICE INCLUDES SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, MEDICAL SOCIAL SERVICE, PERSONAL CARE ASSISTANCE, NUTRITIONAL CONSULTATION, AND RESPIRATORY CONSULTATION. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 162064026 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | 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 | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | 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 | true | 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 | true | 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 | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 186 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1410 | 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 | false | QuidProQuoContributions |
| 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | 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 | false | 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 | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID STRONG | NamePerson |
| Telephone Number | 4173357789 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 SKAGGS ROAD | AddressLine1 |
| City | BRANSON | City |
| State | MO | State |
| ZIP Code | 65615 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| DIANE CORNELISON DO | |||||||||
| PHYSICIAN MEMBER THROUGH 7/10 | 40.0 | X | 612385 | 0 | 24550 | ||||
| ROY JACK GILLISPIE MD | |||||||||
| PHYSICIAN MEMBER THROUGH 7/10 | 40.0 | X | 166704 | 0 | 20011 | ||||
| PHIL LOYD | |||||||||
| SECRETARY | 3.0 | X | 0 | 0 | 0 | X | |||
| ANN MCDOWELL | |||||||||
| DIRECTOR THROUGH 7/10 | 3.0 | X | 0 | 0 | 0 | ||||
| DENNIS NEWKIRK | |||||||||
| TREASURER | 3.0 | X | 0 | 0 | 0 | X | |||
| DAVID SMITH | |||||||||
| CHAIRMAN | 3.0 | X | 0 | 0 | 0 | X | |||
| BOB SIMMONS | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | X | |||
| JOHN ANGLUM | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | ||||
| JAMES LEON COMBS | |||||||||
| DIRECTOR THROUGH 7/10 | 3.0 | X | 0 | 0 | 0 | ||||
| RAEANNE PRESLEY | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | ||||
| JIM KANEASTER | |||||||||
| VICE CHAIRMAN | 3.0 | X | 0 | 0 | 0 | X | |||
| SCOTT ROSSOW | |||||||||
| DIRECTOR THROUGH 7/10 | 3.0 | X | 0 | 0 | 0 | ||||
| LYNN ALLISON MD | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | ||||
| JAMES BERRY | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | ||||
| JANICE WILLIAMS | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | ||||
| LARRY SCHMITT | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | ||||
| TONY WHEELER | |||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | ||||
| WILLIAM MAHONEY | |||||||||
| CEO | 40.0 | 313441 | 0 | 23062 | X | ||||
| DAVID STRONG | |||||||||
| CFO | 40.0 | 146460 | 0 | 16649 | X | ||||
| PETER MARCELLUS MD | |||||||||
| DIRECTOR MEDICAL AFFAIRS | 40.0 | 224760 | 0 | 20509 | X | ||||
| NARIN ARUNAKUL MD | |||||||||
| PHYSICIAN | 40.0 | 925314 | 0 | 35344 | X | ||||
| MITTIE M DRAGOSLJVICH MD | |||||||||
| PHYSICIAN | 40.0 | 742326 | 0 | 42243 | X | ||||
| JOHN W HUFFMAN DO | |||||||||
| PHYSICIAN | 40.0 | 512416 | 0 | 29969 | X | ||||
| CHRIS R REEVES DO | |||||||||
| PHYSICIAN | 40.0 | 692735 | 0 | 40574 | X | ||||
| SANJAY BHARGAVA | |||||||||
| PHYSICIAN | 40.0 | 571018 | 0 | 30967 | X | ||||
| STEPHEN M ERIXON | |||||||||
| FORMER CEO | 126986 | 0 | 12090 | X | |||||
| DAVID AFSHAR DO | |||||||||
| FORMER PHYSICIAN MEMBER | 40.0 | 301732 | 0 | 30690 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5336277 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 326658 | TotalOtherCompensation |
| Number Individuals GT100 K | 73 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| CORNERSTONE PHYSICIANS | |
| PHYSICIANS | 6025050 |
| WHITE RIVER ANESTHESIA ASSOCIATION | |
| PHYSICIANS | 1361186 |
| NUCLEAR DIAGNOSIS INC | |
| NUC MED STUDIES | 1130400 |
| COMPHEALTH ASSOCIATES INC | |
| PHYSICIANS | 854361 |
| PROVIDER SOLUTIONS LLC | |
| PHYSICIANS | 764913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Related Organizations | 490200 | RelatedOrganizations |
| All Other Contributions | 325632 | AllOtherContributions |
| Total Contributions | 815832 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 900099 | 178744337 | 178744337 | |
| CAFETERIA | 722210 | 724536 | 724536 | |
| GIFT SHOP | 453220 | 170148 | 170148 | |
| MANAGEMENT FEES | 561000 | 530211 | 530211 | |
| OTHER | 900099 | 486237 | 477237 | 9000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 180655469 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 315821 | TotalRevenueColumn |
| Exclusion | $315,821 | 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 | 1247647 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47826 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1199821 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1199821 | TotalRevenueColumn |
| Exclusion | $1,199,821 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1704182 | Securities |
| Other | 1920 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1719312 | Securities |
| Other | 27377 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -15130 | Securities |
| Other | -25457 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -40587 | TotalRevenueColumn |
| Exclusion | -$40,587 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 182946356 | TotalRevenueColumn |
| Related Or Exempt Function Income | 180646469 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 9000 | UnrelatedBusinessRevenue |
| Exclusion | $1,475,055 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99189 | Total |
| Program Services | 99189 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40825 | Total |
| Program Services | 40825 | ProgramServices |
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 | 1575282 | Total |
| Program Services | 1075669 | ProgramServices |
| Management And General | 499613 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 514299 | Total |
| Program Services | 375223 | ProgramServices |
| Management And General | 139076 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54903331 | Total |
| Program Services | 48464133 | ProgramServices |
| Management And General | 6439198 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1249481 | Total |
| Program Services | 1112641 | ProgramServices |
| Management And General | 136840 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8885130 | Total |
| Program Services | 7863527 | ProgramServices |
| Management And General | 1021603 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3817329 | Total |
| Program Services | 3368312 | ProgramServices |
| Management And General | 449017 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93634 | Total |
| Management And General | 93634 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310812 | Total |
| Management And General | 310812 | 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 | 24815292 | Total |
| Program Services | 18730526 | ProgramServices |
| Management And General | 6084766 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 704522 | Total |
| Program Services | 20355 | ProgramServices |
| Management And General | 684167 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3855185 | Total |
| Program Services | 2465605 | ProgramServices |
| Management And General | 1389580 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31226 | Total |
| Management And General | 31226 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4435583 | Total |
| Program Services | 3605382 | ProgramServices |
| Management And General | 830201 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161742 | Total |
| Program Services | 138220 | ProgramServices |
| Management And General | 23522 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365058 | Total |
| Program Services | 187016 | ProgramServices |
| Management And General | 178042 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2448976 | Total |
| Program Services | 2119535 | ProgramServices |
| Management And General | 329441 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9590774 | Total |
| Program Services | 8300604 | ProgramServices |
| Management And General | 1290170 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2148427 | Total |
| Program Services | 1152401 | ProgramServices |
| Management And General | 996026 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 32008279 | 32008279 | |
| LICENSES, DUES, SUBSCRIPTIONS | 450574 | 177976 | 272598 |
| RECRUITING & RETENTION | 347789 | 4253 | 343536 |
| MEDICAL SUPPLIES & DRUGS | 23797292 | 23797292 | |
| MEDICAID | 6636117 | 6636117 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337641 | Total |
| Program Services | 320946 | ProgramServices |
| Management And General | 16695 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183623789 | Total |
| Program Services | 162064026 | ProgramServices |
| Management And General | 21559763 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 510618 | BOY |
| EOY | 1320177 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15436026 | BOY |
| EOY | 19307649 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18238415 | BOY |
| EOY | 18827506 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 227667 | BOY |
| EOY | 189333 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2208818 | BOY |
| EOY | 2224258 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2373565 | BOY |
| EOY | 2062302 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 150027786 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 100789781 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57314876 | BOY |
| EOY | 49238005 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10375816 | BOY |
| EOY | 11130143 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7015539 | BOY |
| EOY | 7723830 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 278244 | BOY |
| EOY | 119865 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1540228 | BOY |
| EOY | 1364408 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115519812 | BOY |
| EOY | 113507476 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14653081 | BOY |
| EOY | 14511610 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38345000 | BOY |
| EOY | 37120000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12762338 | BOY |
| EOY | 11566337 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 525000 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66285419 | BOY |
| EOY | 63197947 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42464831 | BOY |
| EOY | 42898017 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6769562 | BOY |
| EOY | 7411512 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49234393 | BOY |
| EOY | 50309529 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115519812 | BOY |
| EOY | 113507476 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -677433 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1752569 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| 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 | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $10,910 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 10910 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1(I) | ReturnReference |
| Explanation | THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2593225 | OtherCostOrOtherBasis |
| Book Value | 2593225 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 59435633 | OtherCostOrOtherBasis |
| Depreciation | 37963933 | Depreciation |
| Book Value | 21471700 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11058883 | OtherCostOrOtherBasis |
| Depreciation | 3068748 | Depreciation |
| Book Value | 7990135 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68547716 | OtherCostOrOtherBasis |
| Depreciation | 56015936 | Depreciation |
| Book Value | 12531780 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8392329 | OtherCostOrOtherBasis |
| Depreciation | 3741164 | Depreciation |
| Book Value | 4651165 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 49238005 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| BENEFICIAL INT IN TRUST | 7411513 | C |
| INV IN BRANSON ORTHO/NEURO CTR | 234806 | C |
| INV IN EQUITY INVESTEE | 77511 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 7723830 | TotalOfBookValueSecurities |
| Total Revenue | 182946356 | TotalRevenue |
| Total Expenses | 183623789 | TotalExpenses |
| Excess Or Deficit For Year | -677433 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1110619 | NetUnrealizedGLOnInvestments |
| Other | $641,950 | OtherAmount |
| Total Adjustments | 1752569 | TotalAdjustments |
| Excess Or Deficit Per FS | 1075136 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 184679225 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1110619 | NetUnrealizedGainsInvestments |
| Other Revenues | 574424 | OtherRevenues |
| Revenue Not Rptd F990 | 1685043 | RevenueNotRptdF990 |
| Revenue Subtotal | 182994182 | RevenueSubtotal |
| Other Revenues Not Included | -47826 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -47826 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 182946356 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 183604089 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 47826 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 47826 | ExpensesNotRptdF990 |
| Expenses Subtotal | 183556263 | ExpensesSubtotal |
| Other Expenses Not Included | 67526 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 67526 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 183623789 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| UNCERTAIN TAX POSITION | SCHEDULE D, PART X, LINE 2 | 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. |
| OTHER CHANGES IN NET ASSETS | SCHEDULE D, PART XI, LINE 8 | $ 641,950 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST |
| RECONCILIATION OF REVENUE - OTHER RECONCILING ITEMS | SCHEDULE D, PART XII, LINE 2D | $ 641,950 TRANSFER OF NET ASSETS TO AFFILIATE (67,526) OTHER FEES INCLUDED WITH REVENUES ON THE AUDIT REPORT MOVED TO BE PROPERLY INCLUDED IN EXPENSES ON THE TAX RETURN. ------------ $ 574,424 RECONCILIATION OF REVENUE & EXPENSES-OTHER RECONCILING ITEM SCHEDULE D, PART XII, LINE 4B AND PART XIII, LINE 2D $ 47,826 OF DEPRECIATION EXPENSE INCLUDED WITH EXPENSES ON THE AUDIT REPORT IS RELATED TO RENTAL INCOME AND HAS BEEN PROPERLY MOVED TO BE INCLUDED ON THE STATEMENT OF REVENUE ON THE TAX RETURN. |
| RECONCILIATION OF EXPENSES - OTHER RECONCILING ITEMS | SCHEDULE D, PART XIII, LINE 4B | $ 67,526 OTHER FEES INCLUDED WITH REVENUES ON THE AUDIT REPORT MOVED TO BE PROPERLY INCLUDED IN EXPENSES ON THE TAX RETURN. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| 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 | 2659530 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2659530 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01750 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22590120 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21047042 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1543078 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01020 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25249650 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21047042 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4202608 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02770 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 109324 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 109254 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 182640 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 182640 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19088652 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17321000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1767652 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01170 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 110808 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 110808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19491424 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17321070 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2170354 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01420 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44741074 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38368112 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6372962 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04190 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3875 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3875 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18125 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 18125 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7050 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7050 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 29050 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 29050 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $10,815,146 | BadDebtExpenseAmount |
| Amount Attributable To | 1816944 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 43807641 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 43763402 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 44239 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| BRANSON ORTHONEURO | |||
| MEDICAL BUILDING | 0.66000 | 0.00000 | 0.34000 |
| SKAGGS HEALTH SYSTEM | |||
| MEDICAL SUPPORT | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | SKAGGS COMMUNITY HEALTH CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 SKAGGS ROAD | AddressLine1 |
| City | BRANSON | City |
| State | MO | State |
| ZIP Code | 65616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKAGGS COMMUNITY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 14 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (14 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SKAGGS-COX HEALTH ALLIANCE LLC | ||||
| 1101 BRANSON HILLS PARKWAY | BRANSON | MO | 65616 | WAL-MART NURSE PRACTITIONER CLINIC |
| SKAGGS OUTPATIENT CENTER | ||||
| 545 N BRANSON LANDING BLVD | BRANSON | MO | 65616 | OUTPATIENT DEPTS PHYSICIAN CLINICS |
| MARY'S WELL HOUSE | ||||
| 5136 HWY 265 | BRANSON | MO | 65616 | PHYSICIAN CLINIC |
| SKAGGS ORTHONEURO CENTER | ||||
| 101 CAHILL RD | BRANSON | MO | 65616 | OUTPATIENT DEPTS PHYSICIAN CLINICS |
| CASTLEROCK | ||||
| 1015 STATE HWY 248 | BRANSON | MO | 65616 | PHYSICIAN CLINIC |
| BRANSON HEART CENTER | ||||
| 1150 HWY 248 | BRANSON | MO | 65616 | OUTPATIENT DEPTS PHYSICIAN CLINICS |
| SKAGGS HOSPICE | ||||
| 611 S SIXTH ST | BRANSON | MO | 65616 | HOME HEALTH HOSPCIE BUSINESS OFFICE |
| PREMIRE FAMILY MEDICINE | ||||
| 895 HWY 248 | BRANSON | MO | 65616 | PHYSICIAN CLINIC |
| SKAGGS MEDICAL EAST | ||||
| 13852 ST HWY 160 | FORSYTH | MO | 65653 | PHYSICIAN CLINIC |
| SKAGGS SOUTHSIDE CLINICS | ||||
| 590 BIRCH ST | HOLLISTER | MO | 65672 | PHYSICIAN CLINIC |
| SKAGGS MEDICAL WEST | ||||
| 11863 ST HWY 13 | KIMBERLING CITY | MO | 65686 | PHYSICIAN CLINIC |
| BRANSON WEST MEDICAL CAREREHAB | ||||
| 18452 ST WHY 13 | BRANSON WEST | MO | 65737 | OUTPATIENT DEPTS PHYSICIAN CLINICS |
| STONE COUNTY PT DEPARTMENT | ||||
| 17565 ST HWY 13 | REEDS SPRING | MO | 65737 | OUTPATIENT DEPTS |
| FITNESS CENTER | ||||
| 1500 BRANSON HILLS PKWY | BRANSON | MO | 65616 | FITNESS CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PERCENT OF TOTAL EXPENSE | SCHEDULE H, PART I, LINE 7, COLUMN F | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25 ($183,623,789) WAS REDUCED BY BAD DEBT EXPENSE ($32,008,279). |
| BAD DEBT EXPENSE | SCHEDULE H, PART III, SECTION A, LINES 4 | THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE ORGANIZATION CALCULATED BAD DEBT AT COST BY TAKING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TIMES THE RATIO OF PATIENT CARE COST TO CHARGES USED FOR SCHEDULE H, PART I CALCULATIONS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA. |
| COMMUNITY BENEFIT RATIONALE | SCHEDULE H, PART III, SECTION B, LINES 8 | THE HOSPITAL IS DESIGNATED BY MEDICARE AS A SOLE COMMUNITY HOSPITAL AND AS SUCH IS THE SOLE SOURCE OF HOSPITAL CARE WITHIN A 35 MILE RADIUS. AS A LARGE RURAL HOSPITAL, MINIMUM STAFFING MUST BE MAINTAINED REGARDLESS OF SWINGS IN PATIENT VOLUME. WITHOUT THE HOSPITAL MEDICARE PATIENTS WOULD NEED TO TRAVEL SIGNIFICANT DISTANCES TO RECEIVE HOSPITAL CARE. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. |
| JOINT VENTURE OWNERSHIP PERCENTAGE | SCHEDULE H, PART IV, LINE 1, COLUMNS (C) & (E) | THE BRANSON ORTHO/NEURO OWNERSHIP PERCENTAGES LISTED IN COLUMNS (C) AND (E) ARE AS OF BRANSON ORTHO/NEURO'S TAX YEAR END, 12/31/2010. IN FISCAL YEAR 2011 THE HOSPITAL PURCHASED THREE PHYSICIANS' MEMBERSHIP INTERESTS. THE HOSPITAL'S OWNERSHIPS PERCENTAGES AS OF 4/30/2011 EQUALED 76 PERCENT AND THE PHYSICIANS OWNERSHIP PERCENTAGE EQUALED 24 PERCENT. |
| NEEDS ASSESSMENT | SKAGGS REGIONAL MEDICAL CENTER WORKS CLOSELY WITH ITS COMMUNITY THROUGH ITS RELATIONSHIP WITH ITS 120 PLUS TRUSTEES WHO ARE COMMUNITY LEADERS FROM TANEY AND STONE COUNTIES. SKAGGS ALSO MAINTAINS A STRONG RELATIONSHIP WITH AREA HEALTH DEPARTMENTS MONITORING THE HEALTH CARE NEEDS OF OUR COMMUNITY. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SKAGGS REGIONAL MEDICAL CENTER SCREENS ALL SELF PAY PATIENTS FOR MEDICAID BY OUTSOURCING SELF PAY TO SEE IF PATIENTS QUALIFY FOR ENTITLEMENT. IF THEY DO NOT QUALIFY THEY WILL TALK TO A FINANCIAL COUNSELOR AND THEY WILL SCREEN THEM FOR CHARITY. WE ALSO HAVE SIGNS THAT INCLUDE "THIS HOSPITAL DOES PARTICIPATE IN THE MEDICAID PROGRAM." | |
| COMMUNITY INFORMATION | SKAGGS REGIONAL MEDICAL CENTER CONSIDERS TANEY AND STONE COUNTIES AS ITS PRIMARY SERVICE AREA WITH BOONE COUNTY AND PARTS OF CARROLL COUNTY IN NORTHERN ARKANSAS AS ITS SECONDARY SERVICE AREA. THE TOTAL POPULATION OF ZIP CODES SERVED BY SRMC IS APPROXIMATELY 144,000. THE PROJECTED POPULATION GROWTH IN THESE AREAS, ESPECIALLY THE CONTINUING MIGRATION INTO THE AREA OF RETIREES, IS A SIGNIFICANT FACTOR IN THE EVER-INCREASING NEED FOR HIGH-TECH MEDICAL SERVICES. THE POPULATION AGE 65 YEARS OR OLDER IN TANEY COUNTY IS 17 PERCENT, WHILE STONE COUNTY IS 21.8 PERCENT. AS A TOURIST DESTINATION, THE BRANSON/LAKES AREA HAS A STRONG SERVICE INDUSTRY WORKFORCE WHO OFTEN DON'T HAVE HEALTHCARE BENEFITS. THE MEDIAN HOUSEHOLD INCOME IN TANEY COUNTY IS $37,573 AND $41,287 IN STONE COUNTY. THE PROJECTED POPULATION FOR THIS AREA IS EXPECTED TO GROW TO 155,000 BY 2014. | |
| COMMUNITY BUILDING ACTIVITIES | SKAGGS REGIONAL MEDICAL CENTER CONTINUES TO PROVIDE MANY COMMUNITY OUTREACH PROGRAMS THROUGH ITS SPEAKERS' BUREAU, COMMUNITY SCREENINGS AND EDUCATION PROGRAMS. SKAGGS REACHES MORE THAN 12,000 INDIVIDUALS THROUGH THESE EFFORTS. | |
| PROMOTION OF COMMUNITY HEALTH | SKAGGS REGIONAL MEDICAL CENTER HAS A 13-MEMBER BOARD OF DIRECTORS WHO ARE ELECTED FROM THE 120 PLUS TRUSTEES. SEVERAL THOUSANDS OF DOLLARS ARE SPENT EACH YEAR OFFERING FREE OR LOW-COST SCREENINGS TO THE COMMUNITY AND EDUCATIONAL PROGRAMS. SKAGGS PHYSICIANS AND STAFF ARE COMMITTED TO EDUCATING THE COMMUNITY TO HELP ENSURE A HEALTHIER FUTURE. CPR CLASSES, SMOKING CESSATION CLASSES, PRENATAL CLASSES, ETC. ARE ALL FOCUSED ON GIVING OUR COMMUNITY MEMBERS THE RESOURCES THEY NEED TO MAKE INFORMED DECISIONS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF MISSOURI-COLUMBIA | |||||||
| PO BOX 807012 | KANSAS CITY | MO | 64180 | 061642698 | 501(C)(3) | 17500 | SUPPORT |
| ST LOUIS REGIONAL DSH FUNDING AUTHORITY | |||||||
| PO BOX 6766 | JEFFERSON CITY | MO | 651026766 | 436003859 | 501(C)(3) | 70439 | SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | TUITION ASSISTANCE | TypeOfGrant |
| Number Of Recipients | 20 | NumberOfRecipients |
| Amount Of Cash Grant | 30825 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING USE OF GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE HOSPITAL NURSING ADMINISTRATION IS IN CONTACT WITH THE NURSING SCHOOL ADMINISTRATION OF THE COLLEGE OF THE OZARKS REGARDING THE STATUS OF THE PROGRAM, FUTURE PLACEMENT OPPORTUNITIES, ETC. EMPLOYEES MUST MEET A NUMBER OF QUALIFICATIONS TO QUALIFY FOR TUITION ASSISTANCE. FOLLOWING COMPLETION OF THE COURSE, THE EMPLOYEE MUST SUBMIT, IN WRITING, A REQUEST FOR A CHECK NOT TO EXCEED $1,000. THE REQUEST MUST BE ACCOMPANIED WITH A STATEMENT FROM THE SCHOOL WITH A BREAKDOWN OF CHARGES AND GRADES ARE SUBMITTED TO THE HUMAN RESOURCE DIRECTOR. OVER THE YEARS, SKAGGS COMMUNITY HOSPITAL HAS GRACIOUSLY SPENT OVER $425,000 IN TUITION ASSISTANCE IN ORDER TO FURTHER THE KNOWLEDGE OF ITS EMPLOYEES. THROUGH AMENDMENT 3 OF THE ORGANIZATION'S AGREEMENT WITH MHA MANAGEMENT SERVICES CORPORATION AND INCREASED DISPROPORTIONATE SHARE HOSPITAL PAYMENTS TO ALL MISSOURI HOSPITAL UNDER THE FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM, THE HOSPITAL MADE CHARITABLE CONTRIBUTIONS TO THE DSH FINDING AUTHORITY DURING FISCAL YEAR 2011. THESE CONTRIBUTIONS ARE USED TO SUSTAIN THE VARIOUS CHARITY CARE CLINICS IN THE ST. LOUIS AREA, WITH LOCAL COMMUNITY HOSPITALS ABSORBING THE INPATIENT AND OUTPATIENT NEEDS OF THE COMMUNITY'S MEDICALLY INDIGENT POPULATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | 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 | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN M ERIXON | |||||||||||
| 0 | 0 | 0 | 0 | 126986 | 0 | 0 | 0 | 12090 | 0 | 139076 | 0 |
| DAVID AFSHAR DO | |||||||||||
| 299410 | 0 | 0 | 0 | 2322 | 0 | 11024 | 0 | 19666 | 0 | 332422 | 0 |
| DIANE CORNELISON DO | |||||||||||
| 611575 | 0 | 0 | 0 | 810 | 0 | 17150 | 0 | 7400 | 0 | 636935 | 0 |
| ROY JACK GILLISPIE MD | |||||||||||
| 165233 | 0 | 0 | 0 | 1471 | 0 | 6774 | 0 | 13237 | 0 | 186715 | 0 |
| PETER MARCELLUS MD | |||||||||||
| 221554 | 0 | 0 | 0 | 3206 | 0 | 9068 | 0 | 11441 | 0 | 245269 | 0 |
| WILLIAM MAHONEY | |||||||||||
| 309909 | 0 | 0 | 0 | 3532 | 0 | 2955 | 0 | 20107 | 0 | 336503 | 0 |
| DAVID STRONG | |||||||||||
| 130013 | 0 | 9000 | 0 | 7447 | 0 | 2304 | 0 | 14345 | 0 | 163109 | 0 |
| NARIN ARUNAKUL MD | |||||||||||
| 897857 | 0 | 10000 | 0 | 17457 | 0 | 16000 | 0 | 19344 | 0 | 960658 | 0 |
| MITTIE M DRAGOSLJVICH MD | |||||||||||
| 659650 | 0 | 80233 | 0 | 2443 | 0 | 19176 | 0 | 23067 | 0 | 784569 | 0 |
| JOHN W HUFFMAN DO | |||||||||||
| 510094 | 0 | 0 | 0 | 2322 | 0 | 15222 | 0 | 14747 | 0 | 542385 | 0 |
| CHRIS R REEVES DO | |||||||||||
| 692195 | 0 | 0 | 0 | 540 | 0 | 17150 | 0 | 23424 | 0 | 733309 | 0 |
| SANJAY BHARGAVA | |||||||||||
| 570478 | 0 | 0 | 0 | 540 | 0 | 16220 | 0 | 14747 | 0 | 601985 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GROSS-UP PAYMENTS | SCHEDULE J, PART I, LINE 1 | xDRS. ARUNAKUL AND DRAGOSLIJVIC RECEIVED GROSS-UP PAYMENTS ON FORGIVEN PRINCIPAL AND INTEREST. WILLIAM MAHONEY RECEIVED A GROSS-UP PAYMENT RELATING TO MOVING EXPENSES. ALL AMOUNTS WERE TREATED AS TAXABLE. |
| SEVERANCE PAYMENTS | SCHEDULE J, PART I, LINE 4A | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION: STEPHEN ERIXON $126,986 |
| INCENTIVE PAYMENTS | SCHEDULE J, PART I, LINE 7 | THE PHYSICIANS ARE ELIGIBLE FOR AN INCENTIVE PAYMENT, BASED ON REACHING A THRESHOLD SET BY THE CEC. ONCE THE PHYSICIANS' WORK RELATIVE VALUE UNITS (WRVU) ARE IN EXCESS OF THIS THRESHOLD ON AN ANNUAL BASIS THE PHYSICIAN RECEIVES A INCENTIVE. THE INCENTIVE IS CALCULATED ON 15% OF THE PHYSICIANS WRVU BASE RATE MULTIPLIED BY THE NUMBER OF WRVU'S IN EXCESS OF THAT THRESHOLD. THIS INCENTIVE IS ONLY COMPENSATED ONCE A YEAR AND IS CALCULATED IN OCTOBER. PHYSICIANS WHO HAVE A GUARANTEE ARE NOT ELIGIBLE FOR THE INCENTIVE. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE INDUSTRIAL DEVELOPMENT AUTHORITY OF TANEY CO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 431288274 | IssuerEIN |
| CUSIP Number | 87539NBQ8 | CUSIPNumber |
| Date Issued | 2005-11-17 | DateIssued |
| Issue Price | 17635000 | IssuePrice |
| Description Of Purpose | CONSTRUCT AND EQUIP HOSPITAL FACIL | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 2700000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 18700518 | TotalProceeds |
| Amount In Reserve Fund | 1239776 | AmountInReserveFund |
| Capitalized Interest | 562209 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 0 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 16910892 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | true | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | true | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | true | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIG MATCHED FUNDING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 23.4 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | true | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | true | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TAX EXEMPT BOND | Identifier |
| Return Reference | SCHEDULE K, PART II, LINE 3 | ReturnReference |
| Explanation | PART II, LINE 3: THE AMOUNT ENTERED IN PART II, LINE 3 IS GREATER THAN THE "ISSUE PRICE" OF THE BONDS ENTERED ON PART I, COLUMN (E) BECAUSE OF INVESTMENT EARNINGS THAT WERE EARNED ON THE BOND PROCEEDS DEPOSITED IN THE PROJECT FUND AND DEBT SERVICE RESERVE FUND. INVESTMENT EARNINGS ON THE DEBT SERVICE RESERVE FUND WERE ONLY TAKEN INTO ACCOUNT THROUGH THE END OF THE "PROJECT PERIOD" IN 2009. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| DR NARIN ARUNAKUL | ||||||
| RELOCATION AGREEMENT | X | $50,000 | 20000 | false | false | true |
| DR DRAGOSLIJVIC | ||||||
| RELOCATION AGREEMENT | X | $25,000 | 8333 | false | true | true |
| DR REEVES | ||||||
| RETURN TO HOSP AREA | X | $200,000 | 161000 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 189333 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| SKAGGS HEALTH SYSTEM | |||
| SEE SCHEDULE L NARRATIVE | 229135 | PHO DUES & ADMIN FEES | false |
| BRANSON ORTHONEURO LLC | |||
| SEE SCHEDULE L NARRATIVE | 190946 | JOINT VENTURE INVESTMENT | false |
| DIANE CORNELISON | |||
| DIRECTOR | 64500 | PURCHASE OF INTEREST IN INVEST | false |
| WHITE RIVER VALLEY ELECTRIC COOP | |||
| SEE SCHEDULE L NARRATIVE | 170855 | ELECTRIC SERVICE | false |
| CONNIE MARCELLUS | |||
| SPOUSE OF PETER MARCELLUS | 18836 | COMPENSATION | false |
| BETH GILLISPIE | |||
| GILLISPIE'S SISTER IN LAW | 23965 | COMPENSATION | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TRANSACTIONS WITH INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | SKAGGS HEALTH SYSTEM AND SKAGGS COMMUNITY HOSPITAL SHARE COMMON BOARD MEMBERS, INCLUDING: GILLIPSIE, ANGLUM, COMBS, AND NEWKIRK. THE AMOUNT IN COLUMN (C) WITH REGARDS TO BRANSON ORTHO/NEURO, LLC EQUALS SKAGGS COMMUNITY HOSPITAL'S CAPITAL ACCOUNT AS OF 12/31/10. THE HOSPITAL IS A MEMBER OF A JOINT VENTURE, BRANSON ORTHO/NEURO, LLC, WITH VARIOUS PHYSICIANS. ONE OF THESE PHYSICIANS, DR. CORNELISON, WAS A BOARD MEMBER OF SKAGGS DURING THE FISCAL YEAR. NONE OF THE OTHER PHYSICIAN MEMBERS WERE INTERESTED PERSONS DURING THE FISCAL YEAR ACCORDING TO THE SCHEDULE L, PART IV, FILING INSTRUCTIONS. DR. CORNELISON RECEIVED A PAYMENT FOR HER INTEREST IN BRANSON ORTHO/NEURO, LLC. BOB SIMMONS, A BOARD MEMBER OF SKAGGS COMMUNITY HOSPITAL, IS ALSO A BOARD MEMBER OF WHITE RIVER VALLEY ELECTRIC COOP. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION SUMMARY | FORM 990, PART I, LINE 1 | THE SKAGGS TEAM INCLUDES THE EMPLOYEES, PHYSICIANS, BOARD MEMBERS, TRUSTEES AND VOLUNTEERS OF SKAGGS REGIONAL MEDICAL CENTER. THE SKAGGS TEAM IS DEDICATED TO ACHIEVING THE ORGANIZATION'S MISSION BY TAKING A LEADERSHIP ROLE IN WELLNESS THROUGH EDUCATION, PREVENTION AND ADVOCACY; SERVING OUR PATIENTS THROUGH THE USE OF MODERN TECHNOLOGY BY SKILLED PROFESSIONALS AND PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY IN ASSISTING INDIVIDUALS TO REACH THEIR HIGHEST QUALITY OF LIFE. THE SKAGGS TEAM ACCOMPLISHES THIS BY PROVIDING THE CLEANEST, FRIENDLIEST AND SAFEST HEALTHCARE ENVIRONMENT YOU WILL EVER EXPERIENCE; WITH AN ORGANIZED, CARING, HONEST TEAM THAT TAKES PRIDE IN ITS WORK; BY PROVIDING OUR HEALTH SYSTEM SERVICES IN CONVENIENT, ACCESSIBLE FACILITIES; BY PROVIDING INDIVIDUALIZED CARE FOR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS; BY TREATING EACH OTHER AS WE WOULD WANT TO BE TREATED; BY EMPOWERING OUR TEAM MEMBERS TO DO WHATEVER IT TAKES TO ANTICIPATE NEEDS AND SOLVE CHALLENGES AS THEY ARISE; BY ENCOURAGING OUR TEAM TO BE PROACTIVE IN PERSONAL HEALTH AND WELLNESS AND WITH FINANCIAL INTEGRITY AND STABILITY. THE SKAGGS TEAM STRIVES TO FULFILL THIS MISSION BY PARTNERING WITH THOSE WE SERVE TO ACHIEVE THE HIGHEST LEVEL OF SATISFACTION. |
| PROGRAM SERVICE ACHIEVEMENT #1 | FORM 990, PART III, LINE 4A | BY RECEIVING THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL (TM) AND EARNING A CERTIFICATION IN DIABETES CARE, SKAGGS IS UNIQUELY POSITIONED TO CARE FOR AND EDUCATE THOSE DIAGNOSED WITH DIABETES, A CHRONIC CONDITION APPROACHING EPIDEMIC PROPORTIONS. ALSO DURING THIS FISCAL YEAR, SKAGGS BECAME ONE OF 600 ADVANCED PRIMARY STROKE CENTERS IN THE COUNTRY, MAKING SKAGGS THE STROKE TREATMENT CENTER OF CHOICE. PATIENTS SUFFERING STROKE SYMPTOMS CAN BE TREATED MORE QUICKLY AND CLOSER TO HOME, IMPROVING THEIR CHANCE FOR A POSITIVE OUTCOME. MOST WIRED 2010 - IN AN EVER-CHANGING AND ADVANCING TECHNOLOGICAL WORLD, SKAGGS REGIONAL MEDICAL CENTER PROVES IT'S KEEPING AHEAD AND AT TIMES LEADING THE WAY IN HEALTH INFORMATION TECHNOLOGY. AWARDED THREE-YEAR TERM OF ACCREDITATION IN MRI AND CT SCAN AS THE RESULT OF A RECENT SURVEY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) - THE ACR AWARDS ACCREDITATION TO FACILITIES FOR THE ACHIEVEMENT OF HIGH PRACTICE STANDARDS FOLLOWING AN EVALUATION OF THE PRACTICE. THE ACUTE REHABILITATION UNIT (ARU) AT SKAGGS REGIONAL MEDICAL CENTER WAS AWARDED A THREE YEAR ACCREDITATION BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) FOR ITS INPATIENT REHABILITATION PROGRAMS FOR ADULTS AND STROKE SPECIALTY PROGRAMS FOR ADULTS. PROVIDERS THAT MEET CARF'S STANDARDS HAVE DEMONSTRATED THEIR COMMITMENT TO BEING AMONG THE BEST AVAILABLE. SKAGGS REGIONAL MEDICAL CENTER'S WAIT TIME TO SEE A PROVIDER IN THE ER IS LESS THAN HALF THE NATIONAL AVERAGE WAIT-TIME FOR EMERGENCY DEPARTMENTS AT 21 MINUTES. THROUGH FACEBOOK, SKAGGS ADDED ANOTHER MEANS OF COMMUNICATION TO THE COMMUNITY BY ADDING SOCIAL MEDIA TO ITS METHODS OF COMMUNICATING ITS MESSAGE QUICKLY ON A DAY TO DAY BASIS AS WELL AS IN THE EVENT OF AN EMERGENCY. SKAGGS ACUTE REHABILITATION UNIT (ARU) WAS AWARDED "MOST IMPROVED PERFORMANCE 2010" BY REHABCARE GROUP, INC. DURING ITS ANNUAL CONFERENCE IN NASHVILLE, TN, OCTOBER 18. THE UNIT WAS SELECTED FROM A GROUP OF MORE THAN 100 OTHER ACUTE REHAB UNITS ACROSS THE UNITED STATES FOR THEIR COMMITMENT AND DEDICATION TO QUALITY AND GROWTH. IN PROGRESS AND TO BE COMPLETED IN THE FOLLOWING FISCAL YEAR ARE A GERIATRIC PSYCHIATRIC UNIT (SENIOR TRANSITIONS UNIT) AND THE SKAGGS JOINT & SPINE CENTER. THE SENIOR TRANSITIONS UNIT PROVIDES A SECURE AND THERAPEUTIC ENVIRONMENT FOR SENIORS FACING MENTAL HEALTH ISSUES. THIS ACUTE CARE UNIT HELPS AREA SENIORS BEGIN A PATH TO ACHIEVING THEIR OPTIMAL STATE OF PHYSICAL, MENTAL AND EMOTIONAL WELL-BEING THROUGH INDIVIDUALIZED THERAPY. THE SENIOR TRANSITIONS UNIT PROVIDES A PREADMISSION EVALUATION, DIAGNOSIS OF PSYCHIATRIC AND MEDICAL CONDITIONS, PSYCHOSOCIAL ASSESSMENT, MULTIDISCIPLINARY TREATMENT PLANNING, GROUP AND INDIVIDUALIZED PSYCHOTHERAPY, OCCUPATIONAL AND RECREATIONAL THERAPY, FAMILY COUNSELING, MEDICATION MANAGEMENT AND A POST DISCHARGE FOLLOW-UP. PATIENTS MUST BE 65 YEARS OF AGE OR OLDER, DETERMINED BY A LICENSED PHYSICIAN OF MEDICAL STABILITY AND NEED TO INPATIENT MENTAL HEALTH TREATMENT, UNDERSTAND AND AGREE TO VOLUNTARY ADMISSION OR HAVE A LEGAL GUARDIAN WITH THE ABILITY TO MAKE HEALTHCARE DECISION AND HAVE THE ABILITY TO PARTICIPATE IN, AND BENEFIT FROM, INDIVIDUAL AND GROUP THERAPIES. THE SKAGGS JOINT & SPINE CENTER IS UTILIZING THE MARSHALL-STEELE PROGRAM, AN AGGRESSIVE THERAPY MODEL THAT UTILIZES A MULTI-DISCIPLINARY TEAM MADE UP OF PROFESSIONALS TRAINED TO CARE FOR PATIENTS UNDERGOING KNEE, HIP AND SPINE SURGERY. BECAUSE THESE PATIENTS ARE NOT SICK, THE JOINT PROGRAM WORKS DIFFERENTLY FROM OTHER HOSPITAL UNITS. PATIENTS ENJOY A SENSE OF COMMUNITY WITH STAFF, FAMILY MEMBERS AND FELLOW PATIENTS SUPPORTING EACH OTHER EVERY STEP OF THE WAY. WITH A FOCUS ON RETURNING OUR PATIENTS TO THEIR ACTIVE LIFESTYLES WE CHALLENGE THEM TO TAKE THE LEAD IN THEIR RECOVERY. EVERY DETAIL FROM EDUCATION BEFORE SURGERY TO EXERCISES AFTER SURGERY IS REVIEWED USING INPUT FROM OUR PATIENTS AND THEIR FAMILIES. A FAMILY MEMBER IS DESIGNATED AS THE PATIENT'S "COACH," AND PARTICIPATES IN THE PATIENT'S THERAPY AND IS TAUGHT HOW TO ASSIST HIM OR HER AT HOME. BOTH THE SENIOR TRANSITIONS UNIT AND SKAGGS JOINT & SPINE CENTER WILL OPEN IN THE NEXT FISCAL YEAR. PROGRAM SERVICE ACHIEVEMENT #2 FORM 990, PART III, LINE 4B SKAGGS URGENT CARE/WALK-IN CLINIC EXPANDED OPERATING HOURS TO GREATER MEET THE NEEDS OF OUR GROWING COMMUNITY, AND THOSE VISITING HERE. COMPLETED DURING THE 05/01/10 - 04/30/11 FISCAL YEAR WAS THE EXPANSION OF BRANSON HEART CENTER AND SKAGGS CARDIAC AND PULMONARY REHABILITATION AT 1150 STATE HWY 248. THIS CONSTRUCTION ALLOWED FOR THE MOVE OF SKAGGS DIABETES AND ENDOCRINOLOGY CARE, SKAGGS DIABETES EDUCATION AND THE FOOT DOCTORS. THESE CARE FACILITIES ARE NOW LOCATED IN A CENTRAL AND CONVENIENT LOCATION SO THAT SKAGGS' COMMUNITY MEMBERS CAN RECEIVE A VARIETY OF SERVICES. PROGRAM SERVICE ACHIEVEMENT #3 FORM 990, PART III, LINE 4C OUR INTERDISCIPLINARY TEAM WORKS HARD TO PROVIDE THE FINEST IN HOME HEALTH CARE, ALLOWING THE PATIENT COMFORT AND PRIVACY IN HIS/HER OWN SURROUNDINGS. BY DELIVERING THIS TYPE OF APPROPRIATE CARE UNDER THE SUPERVISION OF A PHYSICIAN, WE CAN HELP PATIENTS AVOID HOSPITALIZATION. HOWEVER, IF HOSPITALIZATION DOES BECOME NECESSARY, WE CAN HELP PATIENTS RECUPERATE MORE QUICKLY. |
| MEMBERS, STOCKHOLDERS, OR OTHER PERSONS | FORM 990, PART VI, SECTION A, LINES 6 & 7A | THE MEMBERSHIP OF THIS ORGANIZATION SHALL BE LIMITED TO PERSONS WHO ARE SELECTED AS A TRUSTEE, BY THE TRUSTEES. MEMBERS OF THE ACTIVE MEDICAL STAFF SHALL BE CONSIDERED NON-VOTING TRUSTEES AS LONG AS THEY REMAIN IN GOOD STANDING ON THE MEDICAL STAFF TRUSTEES, WHO ARE NOT MEMBERS OF THE MEDICAL STAFF, SHALL BE ENTITLED TO ONE (I) VOTE IN THE ELECTION OF DIRECTORS IN SAID CORPORATION; AND IN ALL MATTERS, THE MAJORITY OF THE VOTES CAST SHALL CONTROL. ACTIVE TRUSTEES SHALL HAVE ALL THE BENEFITS, DUTIES AND OBLIGATIONS OF TRUSTEES AS FURTHER DEFINED IN THESE BYLAWS WITHOUT QUALIFICATION. IF ANY TRUSTEE SHALL FAIL TO ATTEND FOUR (4) CONSECUTIVE ANNUAL TRUSTEES' MEETINGS, THEN SAID TRUSTEE SHALL AUTOMATICALLY BE REMOVED FROM TRUSTEE BOARD MEMBERSHIP. NON-MEDICAL TRUSTEES IN GOOD STANDING SHALL BE APPOINTED AND HOLD OFFICE FOR LIFE, OR UNTIL RESIGNATION OR FAILURE TO FUNCTION, OR THEY MOVE OUT OF HOSPITAL SERVICE AREA. UPON THE DEATH, RESIGNATION OR FAILURE TO FUNCTION OF ANY NON-MEDICAL TRUSTEE, A NEW TRUSTEE SHALL BE ELECTED BY A MAJORITY VOTE OF THE REMAINING TRUSTEES VOTING THEREON. NEW TRUSTEES SHALL BE ELECTED AT THE ANNUAL MEETING OF THE TRUSTEES BY MAJORITY VOTE OF THE TRUSTEES VOTING THEREON. MEMBERS OF THE ACTIVE MEDICAL STAFF SHALL HOLD OFFICE SO LONG AS THEY SHALL CONTINUE TO BE A MEMBER OF THE ACTIVE MEDICAL STAFF IN GOOD STANDING. |
| REVIEW OF FORM 990 | FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. WHILE THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS, IT IS THE MEMBERS OF THE FINANCE COMMITTEE THAT GO THROUGH AND REVIEW THE RETURN IN DETAIL. UPON RECEIVING THE APPROVAL OF THE BOARD OF DIRECTORS, THE DRAFT IS THEN FINALIZED AND SUBMITTED TO THE IRS. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, AGENTS, MEDICAL STAFF, OFFICERS AND DIRECTORS OF THE ORGANIZATION. IT IS MONITORED AND ENFORCED THROUGH THE THIRD PARTY COMPLIANCE HOTLINE, GLOBAL COMPLIANCE. WHEN A COMPLIANCE ISSUE IS RECEIVED, IT IS INVESTIGATED FOLLOWING POLICY GUIDELINES. PREVIOUSLY, THE POLICY WAS MONITORED INTERNALLY BY CALLING DIRECTLY TO THE COMPLIANCE OFFICER WHO INVESTIGATED AND FOLLOWED UP ON ALL CALLS. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINES 15A & 15B | THE COMPENSATION AND BENEFITS COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, MET ON 7/27/2010 TO REVIEW THE COMPENSATION AND BENEFITS FOR THE CEO OF THE HOSPITAL. THE CEO REVIEWS THE COMPENSATION OF THE VICE PRESIDENTS AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE WHO FORMALLY APPROVES THE COMPENSATION. THE COMMITTEE OBTAINED COMPARABILITY DATA OF TOTAL COMPENSATION AND BENEFITS FOR COMPARABLE POSITIONS FROM INTEGRATED HEALTHCARE STRATEGIES (IHS WAS CONTRACTED BY THE COMMITTEE). THE COMMITTEE ALSO REVIEWED THE DATA FROM OTHER ORGANIZATIONS COMPARABLE IN SIZE, SERVICE AND COMPLEXITY TO SKAGGS HOSPITAL ASSOCIATION. AFTER CONSIDERING ALL DATA, COMPENSATION WAS DETERMINED TO BE REASONABLE AND WAS APPROVED. |
| DOCUMENT DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | $ 1,110,619 UNREALIZED GAINS 641,950 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST ------------ 1,752,569 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 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 |
|---|---|---|---|---|---|---|---|---|---|
| SKAGGS EMERGENCY PHYSICIANS | |||||||||
| PO BOX 650 | BRANSON | MO | 65615 | 352275232 | BILLING | MO | 0 | 0 | NA |
| BRANSON HEART CENTER | |||||||||
| PO BOX 650 | BRANSON | MO | 65615 | 300497209 | BILLING | MO | 0 | 0 | NA |
| SKAGGS OCCUPATIONAL HEALTH | |||||||||
| PO BOX 650 | BRANSON | MO | 65615 | 383774737 | BILLING | MO | 0 | 0 | NA |
| BRANSON FAMILY MEDICINE CLINIC | |||||||||
| PO BOX 650 | BRANSON | MO | 65615 | 322331834 | BILLING | MO | 0 | 0 | NA |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SKAGGS FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 650 | AddressLine1 |
| City | BRANSON | City |
| State | MO | State |
| ZIP Code | 65615 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300107007 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | MO | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11 A I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRANSON ORTHONEURO CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14-1952089 | AddressLine1 |
| City | BRANSON | City |
| State | MO | State |
| ZIP Code | 65616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141952089 | EIN |
| Primary Activity | MED BLDG | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 40036 | ShareOfTotalIncome |
| Share Of EOY Assets | 3549959 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.66000 | 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 | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | 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 | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | 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 | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| BRANSON ORTHONEURO CENTER LLC | |
| A | 16092 |
| SKAGGS FOUNDATION | |
| C | 490200 |
| BRANSON ORTHONEURO CENTER LLC | |
| J | 618848 |
| SKAGGS FOUNDATION | |
| P | 318549 |
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