2012-08-13T11:52:42-05:00 2011-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-10-01 431696258 PHELPS COUNTY HOSPITAL FOUNDATION PHEL 5733648899 1000 WEST 10TH STREET ROLLA MO 65401 EDWARD CLAYTON 2012-07-31 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z EDWARD CLAYTON 1000 WEST 10TH STREET ROLLA MO 65401 605168 false X WWW.PCRMC.COM X 1994 MO SERVES AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST PCRMC IN PROVIDING FOR THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. SEE SCHEDULE O FOR MORE DETAIL. 9 4 2 40 0 0 180257 588201 0 0 3400 3613 -21492 -24163 162165 567651 83435 84454 0 0 149636 197376 0 0 318625 65696 121249 298767 403079 -136602 164572 729020 1092636 1024415 1223459 -295395 -130823 OUR MISSION IS TO SERVE AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST THE MISSIONS OF PHELPS COUNTY REGIONAL MEDICAL CENTER IN PROVIDING FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. false false 84454 84454 THE ORGANIZATION FACILITATES CHARITABLE DONATIONS TO HELP SUPPORT THE MISSIONS AND ACTIVITIES OF PHELPS COUNTY REGIONAL MEDICAL CENTER. CONTRIBUTIONS ARE RECEIVED BY THE ORGANIZATION AND DISTRIBUTED TO PCRMC FOR USE IN ITS MISSION TO PROVIDE FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. 84454 true true false false false false false false false true false false true true false false false false false false false false false true false false true false true false false false false false false false false false false false false false true false false false false true 0 0 true 2 true false false false false false true true false false false false X 9 4 false false true false false false false true true false false false true true true true true true false false X EDWARD CLAYTON 5733648899 1000 WEST 10TH STREET ROLLA MO 65401 X DEBBIE SCHUETZ 1.0 X X 0 0 0 MARK RIEFER 1.0 X 0 0 0 JOHN DENBO 1.0 X X 0 276091 25041 TED DAY 1.0 X X 0 0 0 DR JOHN PARK 1.0 X 0 0 0 PAT LEADERS 1.0 X 0 0 0 YVONNE DAWDY 1.0 X X 0 5292 0 KATHY NICKASON 1.0 X 0 0 0 MARY GRAHAM 1.0 X X 0 30000 0 JO ANN BRAND-HOERTEL 1.0 X 0 0 0 TINA PRIDGEON 1.0 X X 0 0 0 FRANK LAZARRO 1.0 X X 0 0 0 KEITH STRASSNER 1.0 X 0 0 0 JOE PHELPS 1.0 X 0 0 0 LORRIE HARTLEY 40.0 X 0 72796 18472 0 384179 43513 0 false true false 0 106485 9900 471816 588201 0 3613 3613 0 0 0 13354 106485 37517 -24163 -24163 0 0 0 567651 -20550 84454 84454 0 0 0 0 0 155587 155587 4988 4988 25981 25981 10820 10820 0 0 0 0 0 0 18939 18939 0 73584 73584 0 0 16046 16046 662 662 0 11223 11223 0 0 0 0 LICENSES, DUES & SUBSCRIPTIONS 380 380 MISCELLANEOUS 415 415 403079 84454 0 318625 653521 993898 661 16674 16674 75499 81403 729020 1092636 206 3591 1024209 1219868 1024415 1223459 X -295395 -130823 -295395 -130823 729020 1092636 164572 X false false false X X X false false false PCRMC 436004435 03 true true true 84454 1 84454 THE FULL NAME OF THE SUPPORTED ORGANIZATION IS PHELPS COUNTY REGIONAL MEDICAL CENTER. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16674 16674 16674 DUE FROM HOME HEALTH 81187 DUE FROM PMGI 64 DUE FROM BOND CLINIC 152 81403 0 DUE TO PCRMC 1219868 1219868 GOLF TOURNAMENT 82520 73742 8778 6969 12371 5380 4612 HEART TO HEART 37319 32743 4576 100 4050 4035 0 119839 106485 13354 7069 12371 9430 8647 37517 -24163 true PHELPS COUNTY REGIONAL MEDICAL CENTER 1000 W 10TH STREET ROLLA MO 65401 436004435 PHELPS CO RMC 84454 SUPPORT PROGRAMS 1 0 MONITORING OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 GRANTS ARE PROVIDED TO A RELATED ORGANIZATION AS PART OF THE FOUNDATION'S MISSION. GRANT SPENDING IS MONITORED MONTHLY BY PCRMC ACCOUNTING DEPARTMENT AND FINANCIAL INFORMATION IS FORWARDED TO DIRECTOR OF FOUNDATION TO DETERMINE IF ADDITIONAL GRANT FUNDS ARE NEEDED. false false false false false false false false JOHN DENBO 0 241105 0 0 0 34986 0 16121 0 8920 0 301132 0 0 COMPENSATION DETERMINATION SCHEDULE J, PART I, LINE 3 PHELPS COUNTY REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION, USES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IN DETERMINING THE COMPENSATION OF THE CEO. ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 THE JOY OF CARING CANCER FUND OFFERS FINANCIAL ASSISTANCE FOR CANCER PATIENTS WHO MAY HAVE DIFFICULTY MANAGING THEIR DAILY ACTIVITIES AND CAPITAL NEEDS RELATED TO CANCER SERVICES. APPROXIMATELY 200 PEOPLE RECEIVED BENEFITS FROM THIS FUND THIS YEAR. COMPREHENSIVE BREAST CENTER PROVIDES WOMEN WITH A CHANCE AGAINST BREAST CANCER, THROUGH MANY COMMUNITY LEADERS' COMMITMENT. A KEY ELEMENT OF THE CENTER IS MAMMOGRAMS. NINETEEN PEOPLE WERE SERVED THIS YEAR. THE GUARDIAN ANGEL FUND PROVIDES A PHILANTHROPIC OPPORTUNITY FOR GRATEFUL PATIENTS TO RECOGNIZE A SPECIAL CAREGIVER WHO THEY BELIEVE MADE A DIFFERENCE IN THEIR STAY OR VISIT. THROUGH THIS PROGRAM, OVER 70 EMPLOYEES HAVE BEEN RECOGNIZED BY 154 PATIENTS. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS DURING THE FISCAL YEAR. SIGNIFICANT CHANGES INCLUDE: -THE NUMBER OF DIRECTORS OF THE BOARD WAS CHANGED TO BE NO LESS THAN 7 AND NO MORE THAN 21. THE BYLAWS PREVIOUSLY ALLOWED FOR A MAXIMUM OF 15 MEMBERS. -THE AUXILIARY BOARD PRESIDENT OR BOARD MEMBER DESIGNEE IS NOW AN AUTOMATIC NON-VOTING BOARD MEMBER, INSTEAD OF THE DIRECTOR OF VOLUNTEER SERVICES. -THE CEO IS NOW A VOTING MEMBER OF THE BOARD. THE CEO WAS PREVIOUSLY A NON-VOTING MEMBER. -BOARD MEMBERS ARE NOW LIMITED TO SERVING NO MORE THAN 9 CONSECUTIVE YEARS ON THE BOARD, AND MUST BE OFF THE BOARD FOR AT LEAST 1 YEAR BEFORE BEING ELIGIBLE FOR RE-NOMINATION. THERE WAS PREVIOUSLY NO LIMIT ON THE NUMBER OF TERMS A MEMBER COULD SERVE. -NOMINATING AND FINANCE & INVESTMENT COMMITTEES WERE CREATED. THESE COMMITTEES ARE TO BE PRESIDED OVER BY BOARD MEMBERS BUT MAY CONSIST OF NON-BOARD MEMBERS AS WELL. REVIEW OF THE FORM 990 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INTERNAL FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM IS REVIEWED BY THE CFO AND CONTROLLER OF THE ORGANIZATION BEFORE BEING FILED WITH THE IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES, DIRECTORS, OFFICERS AND TRUSTEES ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH INDIVIDUAL IS REQUIRED TO SUBMIT ANY POTENTIAL CONFLICTS FOR REVIEW BY THE BOARD AND, IF NECESSARY, GENERAL COUNSEL SO THAT A DETERMINATION OF CONFLICT CAN BE ISSUED. IF A CONFLICT DOES EXIST, THE AFFECTED INDIVIDUAL IS NOT ALLOWED TO VOTE WITH REGARDS TO TRANSACTIONS THAT INVOLVE THE ORGANIZATION AND POTENTIALLY THE CONFLICTED PARTY AND WILL BE EXCUSED FROM THE BOARD SESSION DURING THE VOTING PERIOD. IN ADDITION, THE BOARD MAINTAINS THE RIGHT TO APPOINT AN INDEPENDENT THIRD PARTY TO RESEARCH THE POTENTIAL TRANSACTION AND ANY POSSIBLE ALTERNATIVES. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A HUMAN RESOURCES CONDUCTS AN ORGANIZATION-WIDE COMPENSATION REVIEW BASED ON MARKET DATA COLLECTED FROM COMPETITIVE MARKETS. RECOMMENDED ADJUSTMENTS ARE BASED ON THE DATA COLLECTED AND THE FINANCIAL POSITION OF THE ORGANIZATION. PAY RAISES ARE APPROVED BY THE BOARD OF DIRECTORS, AND DOCUMENTED IN THE BOARD MINUTES. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. BOARD MEMBER COMPENSATION FORM 990, PART VII, SECTION A YVONNE DAWDY AND MARY GRAHAM, BOARD MEMBERS, RECEIVE 1099 COMPENSATION FROM PHELPS COUNTY REGIONAL MEDICAL CENTER FOR SERVICES PERFORMED. JOHN DENBO, CEO, AND LORRIE HARTLEY, DIRECTOR, RECEIVE W-2 COMPENSATION FROM PHELPS COUNTY REGIONAL MEDICAL CENTER FOR THEIR SERVICES AS EMPLOYEES. NO BOARD MEMBERS ARE COMPENSATED FOR THEIR SERVICES AS A BOARD MEMBER. PHELPS COUNTY REGIONAL MEDICAL CENTER 1000 W 10TH STREET ROLLA MO 65401 436004435 HEALTH CARE MO NA false true true false false false false false false false true false true true true true false false