2012-05-11T12:43:53-07:00 2011-06-30 990 2010-07-01 431786058 SAINT LOUIS CONNECTCARE SAIN 3148796308 5535 Delmar Blvd St Louis MO 63112 Robert Salmo 3148796221 2012-03-30 2010 2016-02-24 21:20:13Z X Robert Salmo 5535 Delmar Blvd St Louis MO 63112 24849600 0 X www.stlouisconnectcare.org X 1997 MO Provision of health services to uninsured and underinsured residents of St Louis City and County. 14 13 202 73 0 0 5195218 6557005 16664044 16971101 3450 2543 1429877 1288633 23292589 24819282 0 0 0 0 9725534 10131770 0 0 15991 12093452 9403724 21818986 19535494 1473603 5283788 9346374 13415760 2617735 1953333 6728639 11462427 We provide EXCEPTIONAL healthcare services to our communities one patient at a time. 0 0 16309065 24819281 Health Care Delivery and Management, General/Other: Saint Louis ConnectCare provided Urgent Care/Specialities/Diagnostic services for over 40,000 physician encounters with over 9,000 radioloby test and over 32,000 prescriptions filled. We also provided over 15,000 labortorary test. We provided over 4,500 outside referrals on our patients, that we paid for in collaorating hospitals at a cost of nearly 1.9 million. Our van transportation services provided nealy 28,000 trips to patients without means to get to their medical appointments and or pick up prescription. We provided over 1,200 ASC procedures. 0 0 0 16309065 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 0 202 1 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X Robert Salmo 3148796221 5535 Delmar Blvd St Louis MO 63112 Patricia Gray 0.50 X X 0 0 0 James Buford 1 X X 0 0 0 Donald Kalicak 0.50 X X 0 0 0 Michael A DeHaven 1 X X 0 0 0 Melody Eskridge 48 X X X X 201672 0 20145 Melba Moore 0.25 X 0 0 0 Gregory Carter 0.25 X 0 0 0 Robert Porter 0.50 X 0 0 0 Frank Williamson 0.25 X 0 0 0 Lisa Gould Walker 0.25 X 0 0 0 David Clifford 0.25 X 0 0 0 Dolores Gunn MD 0.25 X 0 0 0 James Crane MD 0.25 X 0 0 0 Pamela Walker 0.25 X 0 0 0 Robert Salmo 48 X 102120 0 14592 Gail Montgomery Edwards 48 X 103257 0 802 Myung Kang 40 X 175610 0 5977 Jesse Poblete MD 40 X 187360 0 18025 Andrea Davis 32 X 111501 0 1691 Joseph Ruwitch 32 X 138412 0 463 1019932 0 61695 9 0 1 0 Eye Associates 5535 Delmar Blvd St Louis MO 63112 Medical Services 137337 Quest Diagnostics P O Box 740709 Atlanta GA 30374 Laboratory 132464 St Louis University Hospital Tenat P O Box 676786 Dallas TX 75267 Medical Service 241882 3 0 0 30318 0 4990343 1536344 0 6557005 Dispropriationate Share Hospital 621000 14400000 14400000 0 0 Patient Accounts 621000 1344505 1344505 0 0 Rents 900099 350696 350696 0 0 Medicare/Medicaid Programs 621990 875900 875900 0 0 0 0 0 0 16971101 2543 2543 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30318 0 30318 0 0 0 Transportation 480000 217588 217588 0 0 Pharmacy Rebates 446110 397460 397460 0 0 Meidcal Records, GME and other 621990 666276 666276 0 0 7309 7309 0 0 1288633 24819282 18262277 0 0 0 0 0 0 0 0 0 0 903500 229041 674459 0 0 0 0 0 7639405 6616081 1010396 12928 142010 117805 24067 138 784932 493848 289896 1188 661923 416455 244466 1002 0 0 0 0 -3974 8664 -12638 0 63480 0 63480 0 0 0 0 0 0 0 0 0 0 0 367626 284924 82702 0 8195 6363 1832 0 2007197 1850721 156476 0 23645 22463 1182 0 0 0 0 0 1351825 1342069 9256 500 55603 49879 5724 0 0 0 0 0 24935 11751 13184 0 38201 27813 10388 0 0 0 0 0 856186 576293 279658 235 751420 674814 76606 0 Purchased Medical Services 2472847 2472847 0 0 Other Purchased Services 1177153 983731 193422 0 All Other Expenses 209385 123503 85882 0 19535494 16309065 3210438 15991 5378839 7132618 0 0 0 0 532326 367716 0 0 0 0 0 0 198450 232999 266971 159129 11746241 7880670 2764621 3865571 0 0 0 0 0 0 0 0 205167 1657727 9346374 13415760 2617735 1953333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2617735 1953333 X 6178639 11462427 550000 0 0 0 6728639 11462427 9346374 13415760 X 5283788 -550000 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 6017810 4037408 1980402 0 5728431 3843262 1885169 0 0 0 0 3865571 Due from RCG 83599 Misc Receivables 47895 AR other programs 10094 Due from BJC 266136 Due from the City of St Louis 1250003 1657727 24819282 19535494 5283788 0 0 0 0 0 0 5283788 26473782 0 1654500 0 0 1654500 24819282 0 0 0 24819282 21189994 1654500 0 0 0 1654500 19535494 0 0 0 19535494 Gala 30318 18623 11695 0 0 0 10795 900 0 0 0 30318 18623 11695 0 0 0 10795 900 0 11695 0 X X X X X 0 0 0 0 0 0 0 0 0 Melody Eskridge 201672 0 0 0 0 0 3742 0 16403 0 221817 0 221675 Myung Kang 175610 0 0 0 0 0 5343 0 5977 0 186930 0 186880 0 Jesse Poblete MD 187360 0 0 0 0 0 5761 0 12264 0 205385 0 205152 0 F990_P00_S00_L0B Form 990, Header, Line B Grammatical errors F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b Form 990 Part VI Section B 11a and b - The Form 990 is completed by the Finance Director, then it goes to the CFO and CEO to be reviewed, prior to it being distributed to our Audit and Finance Committee and the then it is distributed to the full Board of Director, prior to filing. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Form 990, Part VI, Section B, Line 12c - Corporate Compliance policies are governed by the Compliance Invesigation, that are summarized below: 1. Compliance will assess all credible reports of alleged violations of criminal, civil or administrative law and will consult legal counsel. 2. If it is determined that the violation falls within the scope of an ongoing investigation by a governmental authority, compliance will, with the assistance of legal counsel present to the investigationg governmental authority relevant information pertaining to the violation. 3. If it is determined the SLCC received a payment from a governmental health or social services program as a result of a violation of law, SLCC will take the steps necessary to correct the problem and to prevent a reccurance. 4. Compliance will advise and inform appropriate Executive Management staff as necessary. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Form 990, Part VI, Section B, Line 15a - The CEO's compensation is set after the review of compensation of CEO's, whose roles are comparable to this organization's CEO. The compensation review committee is comprised of the combined Audit and Finance and Executive Committee Members. 15b. Compensation of other executive staff is set based on compensation surveys and is approved by the CEO in consultatoin with the highest level of Human Resources Staff. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Form 990, Part VI, Section C Line 19 - We make our documents available on the following websites: Better Business Accredited Charity - www.bbb.org/us/charity. Guidestar - www.guidestar.org We also have these documents available upon written request. F990_P11_S00_L05 Form 990, Part XI, Line 5 Temporarily Restricted Funds allocated out in the current fiscal year. SchB_P01_S00_L00 Schedule B, Part I Form 990 Schedule B Part I Contributions - Missouri Foundation of Health - 100 St Louis Union Station, Suite 400, St Louis, MO 63103 (8,335.00) refund monies not used. MEHTAP - 2217 St Mary's Blvd W Jefferson City, MO 65102 (1325.00) Accrued for monies not received. After our audit was completed, our next scheduled Board of Directors meeting was on March 15, 2012.