2012-03-14T15:52:40-05:00 2011-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-05-01 440584290 SKAGGS COMMUNITY HOSPITAL ASSOCIATION SKAG 4173357000 251 SKAGGS ROAD BRANSON MO 65615 DAVID STRONG 2012-03-15 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z X SKAGGS REGIONAL MEDICAL CENTER MR WILLIAM MAHONEY 251 SKAGGS ROAD BRANSON MO 65615 184740871 false X WWW.SKAGGS.NET X 1950 MO 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. 12 9 1410 319 9000 -27521 686124 815832 175066005 180655469 547534 275234 870043 1199821 177169706 182946356 1145686 140014 0 0 65707368 70944852 0 0 0 113087215 112538923 179940269 183623789 -2770563 -677433 115519812 113507476 66285419 63197947 49234393 50309529 X IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES. false false 120915970 99189 154881040 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. 39138462 24418332 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. 2009594 40825 1347097 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. 162064026 true true false true false false false false false true true false false false false false true false false false false false false false false true true true true true true false false false false false true false false true true false false false false true true true true false false true 186 0 true 1410 true true true false false false false false false false false false X 12 9 false false false false true true false true true false false true true true true true true true true true false X DAVID STRONG 4173357789 251 SKAGGS ROAD BRANSON MO 65615 DIANE CORNELISON DO 40.0 X 612385 0 24550 ROY JACK GILLISPIE MD 40.0 X 166704 0 20011 PHIL LOYD 3.0 X X 0 0 0 ANN MCDOWELL 3.0 X 0 0 0 DENNIS NEWKIRK 3.0 X X 0 0 0 DAVID SMITH 3.0 X X 0 0 0 BOB SIMMONS 3.0 X X 0 0 0 JOHN ANGLUM 3.0 X 0 0 0 JAMES LEON COMBS 3.0 X 0 0 0 RAEANNE PRESLEY 3.0 X 0 0 0 JIM KANEASTER 3.0 X X 0 0 0 SCOTT ROSSOW 3.0 X 0 0 0 LYNN ALLISON MD 3.0 X 0 0 0 JAMES BERRY 3.0 X 0 0 0 JANICE WILLIAMS 3.0 X 0 0 0 LARRY SCHMITT 3.0 X 0 0 0 TONY WHEELER 3.0 X 0 0 0 WILLIAM MAHONEY 40.0 X 313441 0 23062 DAVID STRONG 40.0 X 146460 0 16649 PETER MARCELLUS MD 40.0 X 224760 0 20509 NARIN ARUNAKUL MD 40.0 X 925314 0 35344 MITTIE M DRAGOSLJVICH MD 40.0 X 742326 0 42243 JOHN W HUFFMAN DO 40.0 X 512416 0 29969 CHRIS R REEVES DO 40.0 X 692735 0 40574 SANJAY BHARGAVA 40.0 X 571018 0 30967 STEPHEN M ERIXON X 126986 0 12090 DAVID AFSHAR DO 40.0 X 301732 0 30690 5336277 0 326658 73 true true false 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 35 490200 325632 815832 PATIENT SERVICES 900099 178744337 178744337 CAFETERIA 722210 724536 724536 GIFT SHOP 453220 170148 170148 MANAGEMENT FEES 561000 530211 530211 OTHER 900099 486237 477237 9000 180655469 315821 315821 0 0 1247647 47826 1199821 1199821 1199821 1704182 1920 1719312 27377 -15130 -25457 -40587 -40587 0 0 0 0 182946356 180646469 9000 1475055 99189 99189 40825 40825 0 0 1575282 1075669 499613 514299 375223 139076 54903331 48464133 6439198 1249481 1112641 136840 8885130 7863527 1021603 3817329 3368312 449017 0 93634 93634 310812 310812 0 0 0 24815292 18730526 6084766 704522 20355 684167 3855185 2465605 1389580 31226 31226 0 4435583 3605382 830201 161742 138220 23522 0 365058 187016 178042 2448976 2119535 329441 0 9590774 8300604 1290170 2148427 1152401 996026 BAD DEBT 32008279 32008279 LICENSES, DUES, SUBSCRIPTIONS 450574 177976 272598 RECRUITING & RETENTION 347789 4253 343536 MEDICAL SUPPLIES & DRUGS 23797292 23797292 MEDICAID 6636117 6636117 337641 320946 16695 183623789 162064026 21559763 0 510618 1320177 15436026 19307649 18238415 18827506 227667 189333 2208818 2224258 2373565 2062302 150027786 100789781 57314876 49238005 10375816 11130143 7015539 7723830 278244 119865 1540228 1364408 115519812 113507476 14653081 14511610 38345000 37120000 12762338 11566337 525000 0 66285419 63197947 X 42464831 42898017 6769562 7411512 49234393 50309529 115519812 113507476 X -677433 1752569 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10910 10910 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. 2593225 2593225 59435633 37963933 21471700 11058883 3068748 7990135 68547716 56015936 12531780 8392329 3741164 4651165 49238005 BENEFICIAL INT IN TRUST 7411513 C INV IN BRANSON ORTHO/NEURO CTR 234806 C INV IN EQUITY INVESTEE 77511 C 7723830 182946356 183623789 -677433 1110619 641950 1752569 1075136 184679225 1110619 574424 1685043 182994182 -47826 -47826 182946356 183604089 47826 47826 183556263 67526 67526 183623789 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. true true X true X true X true true true false true true 2659530 2659530 0.01750 22590120 21047042 1543078 0.01020 25249650 21047042 4202608 0.02770 109324 70 109254 0.00060 182640 182640 0.00120 19088652 17321000 1767652 0.01170 110808 110808 0.00070 19491424 17321070 2170354 0.01420 44741074 38368112 6372962 0.04190 3875 3875 18125 18125 7050 7050 29050 29050 false 10815146 1816944 43807641 43763402 44239 X true false BRANSON ORTHONEURO MEDICAL BUILDING 0.66000 0.00000 0.34000 SKAGGS HEALTH SYSTEM MEDICAL SUPPORT 0.50000 0.00000 0.50000 1 1 SKAGGS COMMUNITY HEALTH CENTER

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X X X SKAGGS COMMUNITY HEALTH CENTER 1 14 SKAGGS-COX HEALTH ALLIANCE LLC

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WAL-MART NURSE PRACTITIONER CLINIC SKAGGS OUTPATIENT CENTER

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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

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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 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. true 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 2 0 TUITION ASSISTANCE 20 30825 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 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. X false true X X X X X true false false false false false false true false 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 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. THE INDUSTRIAL DEVELOPMENT AUTHORITY OF TANEY CO 431288274 87539NBQ8 2005-11-17 17635000 CONSTRUCT AND EQUIP HOSPITAL FACIL false false false 2700000 0 18700518 1239776 562209 0 0 0 0 16910892 0 0 2009 false false true true false true true false true 0.00000 0.00000 0.00000 true false false false true AIG MATCHED FUNDING 23.4 true true false TAX EXEMPT BOND SCHEDULE K, PART II, LINE 3 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. DR NARIN ARUNAKUL RELOCATION AGREEMENT X 50000 20000 false false true DR DRAGOSLIJVIC RELOCATION AGREEMENT X 25000 8333 false true true DR REEVES RETURN TO HOSP AREA X 200000 161000 false true true 189333 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 TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV 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. 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 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 SKAGGS FOUNDATION PO BOX 650 BRANSON MO 65615 300107007 FUNDRAISING MO 501(C)(3) 11 A I NA BRANSON ORTHONEURO CENTER LLC 14-1952089 BRANSON MO 65616 141952089 MED BLDG MO NA RELATED 40036 3549959 false 0 false 0.66000 true false true false false false false false true true true true true true true true false true BRANSON ORTHONEURO CENTER LLC A 16092 SKAGGS FOUNDATION C 490200 BRANSON ORTHONEURO CENTER LLC J 618848 SKAGGS FOUNDATION P 318549