2012-05-08T11:38:11-05:00 2011-06-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2010-07-01 430666765 Ranken Jordan Home for Convalescent Crippled Children RANK 3148726400 11365 Dorsett Road Maryland Heights MO 63043 LAUREEN K TANNER 3148726400 2012-05-08 true Donna J Larson 3142315544 2010 2016-02-24 21:20:13Z Laureen K Tanner 11365 Dorsett Road Maryland Heights MO 63043 27621854 false X www.rankenjordan.org X 1940 MO Ranken Jordan is one of only a handful of pediatric specialty hospitals nationwide that care for both medically complex and seriously injured children, regardless of their ability to pay. 25 22 371 321 0 0 1538398 1566011 21678087 22000889 596440 492091 290281 553481 24103206 24612472 0 0 0 0 14780127 15683923 0 0 570122 8119747 7871013 22899874 23554936 1203332 1057536 48500230 51189389 21973523 21847054 26526707 29342335 X RANKEN JORDAN IS A PEDIATRIC SPECIALTY HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDREN AND THEIR FAMILIES. false false 15884965 21500270 PROGRAM SERVICE #1 - INPATIENT CARE SEE SCHEDULE O 1143437 967439 PROGRAM SERVICE #2 - OUTPATIENT SERVICES SEE SCHEDULE O 180603 PROGRAM SERVICE #3 - COMMUNITY PROGRAM SEE SCHEDULE 0 17209005 true true false true false false false false true true false false false false false true false false false false false false false true false true true false false true true false false false false false false false false false true false false false false false false false false false false true 9 0 true 371 true false false false false false false false false false false X 25 22 true false false false false false false true true false false true true true true true true true true false X JEAN BARDWELL 3148726400 11365 DORSETT ROAD ST LOUIS MO 63043 X RICHARD A VANDEGRIFT 5.0 X X 0 0 0 JOHN PROSPERI 1.0 X 0 0 0 THOMAS J MINOGUE 2.0 X X 0 0 0 STEVE CORTOPASSI 2.0 X X 0 0 0 BEVERLY BATES 1.0 X 0 0 0 WALTER BAZAN JR 1.0 X 0 0 0 JIM BURDESS 1.0 X 0 0 0 CHRIS CIOFFI 1.0 X 0 0 0 SONDRA M DENK 2.0 X X 0 0 0 GEORGE R EDINGER SR 1.0 X 0 0 0 R BRUCE FRAZER 1.0 X 0 0 0 STEVEN HARPOLE 1.0 X 0 0 0 NITA FOWLER JOHNSON DDS 1.0 X 0 0 0 MICHAEL MAURER JR MD 1.0 X 0 0 0 JEREMY MICHELMAN 1.0 X 0 0 0 BETSY PROSPERI 1.0 X 0 0 0 JEANA REISINGER 1.0 X 0 0 0 PAUL SCHWETZ 1.0 X 0 0 0 RABBI MARK L SHOOK 1.0 X 0 0 0 TIMOTHY J WEHRFRITZ 1.0 X 0 0 0 LAUREEN K TANNER 40.0 X X 301725 0 18205 NICHOLAS HOLEKAMP MD 40.0 X X 283238 0 22000 NOREEN JENNEY LAFFEY 1.0 X 0 0 0 ANDREW STROUD JR 1.0 X 0 0 0 MICHAEL SCULLY 1.0 X 0 0 0 JEAN L BARDWELL 40.0 X 190895 0 8310 R BRETT MOOREHOUSE 40.0 X 179155 0 17033 SUSAN CONGER MD 40.0 X 197009 0 11553 BRIAN J KELLY MD 40.0 X 152794 0 19712 CONNIE SIMMONS MD 40.0 X 162610 0 17359 EUGENE EVRA MD 40.0 X 151703 0 6296 AMY ZIMMERMANN MD 40.0 X 192061 0 6876 1811190 0 127344 12 false true false THOMPSON COBURN LLP ONE US BANK PLAZA ST LOUIS MO 63101 LEGAL SERVICES 180903 MEDICAL STAFFING NETWORK PO BOX 202996 DALLAS TX 753202996 STAFFING SERVICES 139591 APEXIT CONSULTING GROUP 7834 BIG BEND ROAD WEBSTER GROVES MO 63119 IT SERVICES 156000 3 330339 1235672 1566011 INSURANCE & PRIVATE PAYMENTS 621110 3714602 3714602 MEDICARE/MEDICAID PAYMENTS 621110 14561180 14561180 FEES FROM GOV'T AGENCIES 621110 3725107 3725107 22000889 396733 0 396733 0 0 0 0 2943764 2848406 95358 95358 95358 247637 330339 160976 86661 86661 0 0 0 0 MISCELLANEOUS 900099 455933 455933 MEDICAL RECORDS 561000 10887 10887 466820 24612472 22467709 0 578752 0 0 0 0 1051195 262799 648966 139430 0 11811309 9520881 2116167 174261 259466 222287 37179 1676279 1225231 412268 38780 885674 725886 138428 21360 0 0 257219 257219 0 0 0 904038 479252 407528 17258 88225 81167 4411 2647 1445912 1188928 207822 49162 0 0 487836 448809 24392 14635 55626 11237 42523 1866 0 150330 42821 103583 3926 976106 976106 0 1004131 923800 50207 30124 411576 378650 20579 12347 FED REIMBURSEMENT ALLOW. 1353553 1245268 67678 40607 EQUIPMENT 278715 230562 46203 1950 REPAIRS AND MAINTENANCE 159415 146662 7971 4782 DUES & SUBSCRIPTIONS 105247 12461 91750 1036 BAD DEBT 69683 69683 123401 62304 45146 15951 23554936 17209005 5775809 570122 27751 58276 87691 627004 194134 72711 2940698 2769476 524380 714492 28894635 5388371 22893429 23506264 21477306 23099644 354841 341522 48500230 51189389 1459986 1780232 44875 49837 20116212 19715135 352450 301850 21973523 21847054 X 26362001 29277319 164706 65016 26526707 29342335 48500230 51189389 X 1057536 1758092 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 6938 false false 6938 false OTHER ACTIVITIES PART II-B, LINE 1i Lobbying expenses are only incurred through associations with national organizations of which the organization is a member. 16070629 3690757 1354101 2550504 57472 18507511 14096841 3500494 372077 1854247 44536 16070629 11483755 4844155 -634839 1559321 36909 14096841 0.99649 0.00351 true false 759000 1600177 2359177 21468921 3207603 18261318 0 0 0 2797645 1915421 882224 2268892 265347 2003545 23506264 24612472 23554936 1057536 1758092 1758092 2815628 26370564 1758092 1758092 24612472 24612472 23554936 23554936 23554936 USE OF ENDOWMENT FUNDS PART V, LINE 4 The funds are to be used for debt service reserve, future capital improvements and purchase of equipment or use in organization's operations. FIN 48 DISCLOSURE 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. DINNER AUCTION 240703 57759 182944 800 31206 30417 3000 20646 GOLF TOURNAMENT 94342 45516 48826 2500 20651 19103 10073 2 242931 227064 15867 5147 164 17269 577976 330339 247637 2500 5947 51857 49684 3000 47988 160976 86661 true true false false true true false false 202335 202335 0.00860 20186318 18286287 1900031 0.08090 20388653 18286287 2102366 0.08950 175 3203 100612 100612 0.00430 1 25 7025 7025 0.00030 27 2007 193056 193056 0.00820 203 5235 300693 300693 0.01280 203 5235 20689346 18286287 2403059 0.10230 6 6 3295 3295 0.00010 16 563 1250 1250 0.00010 1 637 22300 22300 0.00090 39 1769 26845 26845 0.00110 true 57349 57349 false 1 1 The Ranken Jordan Home for Convalescent

11365 Dorsett Road Maryland Heights MO 63043

X X Pediatric Specialty Hospital The Ranken Jordan Home for Convalescent 1 CHARITY CARE ELIGIBILITY PART I, LINE 3C If the patient does not have commercial insurance and does not qualify for Medicaid they would be eligible for Charity Care. CHARITY CARE & CERTAIN OTHER COMMUNITY BENEFITS AT COST PART I, LINE 7, COLUMN (F) The organization had bad debt expense in the amount of $69,683 reported on Part IX, line 25, however, it has been subtracted for purposes of calculating the percentage in this column CHARITY CARE & CERTAIN OTHER COMMUNITY BENEFITS AT COST PART I, LINE 7 The costs reported in the table in Part I, Line 7 used a ratio of patient care costs to charges as computed in Worksheet 2 of the form instructions. This methodology was used for all patient segments. BAD DEBT EXPENSE PART III, LINE 4A 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 doubtful 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 due in full when billed. Accounts are considered delinguent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Part III, Line 4b Bad debt at cost is determined by taking the actual costs less any contractual allowance agreement with the payor. Bad debt is then recorded at the net realizable amount. The amounts should be included in community benefit because efforts were not made to collect the amount from the patients family. MEDICARE PART III, LINE 8 THERE WERE NO MEDICARE PAYMENTS RECEIVED IN FISCAL YEAR 2011 BECAUSE RANKEN JORDAN HAD NO MEDICARE PATIENTS IN FISCAL YEAR 2011. NEEDS ASSESSMENT PART VI, LINE 2 Ranken Jordan is a member of the Missouri Hospital Association, American Hospital Association, and National Association of Children's Hospitals. Through these affiliations Ranken Jordan is able to monitor and participate in programs that have been determined to meet the needs of the community. On the local level Ranken Jordan partners with Disabled Athletes Sports Association (DASA), St Louis ARC, and the City of Maryland Heights to provide programming that meets the needs of children with complex medical issues. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 All Ranken Jordan patients and families are assigned a social worker upon admission. That person works directly with the patient and their family to make sure that their financial responsibilities are fully explained. Ranken Jordan has the ability to assist families in applying for Medicaid/Medicare coverage if they have not already done so. Due to the special nature of the patients Ranken Jordan serves and the mission of the organization, no inpatient receives a bill for care received. Ranken Jordan does not work with or turn any patient accounts over for collection. COMMUNITY INFORMATION PART VI, LINE 4 Ranken Jordan serves the Metropolitan St. Louis area. Patients are accepted from beyond the St. Louis area based on admission criteria for specialty hositals. The services provided are unique in that they are only available in a limited amount of locations throughout the country. Care is provided for children with complex medical needs, with the goal of seeing them return to a safe home environment. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 Ranken Jordan provides the community with many opportunities for children with complex medical needs and their families to be able to become active in the community. Programs are offered such as Challenger Baseball and Power Soccer that allow children to participate in sports despite their physical limitations. Educational opportunities are provided for these children that include cooking, martial arts, camp, and social gathering programs. All programs are provided free of charge to families and are open to the general public. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 RANKEN JORDAN IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. X true true X X X X X X false true false false false false false true false LAUREEN K TANNER 222710 0 30000 0 49015 0 14350 0 3855 0 319930 0 0 0 JEAN L BARDWELL 151664 0 20000 0 19231 0 4579 0 3731 0 199205 0 0 0 R BRETT MOOREHOUSE 144997 0 20000 0 14158 0 16500 0 533 0 196188 0 0 0 NICHOLAS HOLEKAMP MD 228488 0 30000 0 24750 0 22000 0 0 0 305238 0 0 0 SUSAN CONGER MD 180663 0 12500 0 3846 0 7977 0 3576 0 208562 0 0 0 BRIAN J KELLY MD 144014 0 0 0 8780 0 16500 0 3212 0 172506 0 0 0 CONNIE SIMMONS MD 162610 0 0 0 0 0 16500 0 859 0 179969 0 0 0 EUGENE EVRA MD 139886 0 10000 0 1817 0 2720 0 3576 0 157999 0 0 0 AMY ZIMMERMANN MD 192061 0 0 0 0 0 4878 0 1998 0 198937 0 0 0 HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES PART I, LINE 1(A) There is a membership to Norwood Hills Country Club that is in Laureen K. Tanner's (CEO) name. The membership is paid for by Ranken Jordan. Any personal expenses charged to the account are reimbursed to Ranken Jordan. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PART I, LINE 4B Laureen Tanner and Nick Holenkamp are participants in a 457(f) plan. NON-FIXED PAYMENTS PART 1, LINE 7 Bonuses paid by the organization are discretionary. The board determines if/when bonuses will be paid at the end of the fiscal year. They research current executive salaries of like organizations, results of the year, and benefits packages, to come to a determination. There is no written agreement or guarantee bonuses will be paid anually. The following individuals received the non-fixed payment: Laureen K. Tanner Jean L. Bardwell R Brett Moorehouse Nicholas Holekamp, MD IDA OF THE COUNTY OF ST LOUIS MISSOURI 431170145 79130GFG1 2003-07-31 19294554 ORIGINAL ISSUE FOR BUILDING CONSTR true true false IDA OF THE COUNTY OF ST LOUIS MISSOURI 431170145 79130GGZ8 2007-04-12 21082299 REFUNDING ORG ISSUE SERIES 2003A-C false true false 3104554 19294554 19294554 0 0 16895007 385891 0 0 17491494 1417169 0 2007 false false false true 1367164 0 21082299 0 0 0 321989 0 0 0 20760310 0 2007 false true true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false false false false false false THOMPSON COBURN BOARD MEMBER THOMAS J 340886 LEGAL SERVICES false LLP MINOGUE IS CHAIRMAN PROGRAM SERVICES Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #1 - INPATIENT SERVICES TO CHILDREN WITH COMPLEX MEDICAL NEEDS DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 10,482 DAYS OF MEDICAL CARE FOR INPATIENTS. OF THOSE DAYS, 71% WERE FOR CHILDREN THAT WERE ELIGIBLE TO RECEIVE SOME FORM OF MEDICAID ASSISTANCE. NO INPATIENT EVER LEAVES RANKEN JORDAN WITH A PATIENT RESPONSIBILITY DUE. IT IS THE GOAL OF THE ENTIRE STAFF AT RANKEN JORDAN TO ASSURE THAT WHEN A CHILD LEAVES OUR CARE, THEIR ENTIRE FAMILY HAS BEEN WELL TRAINED AND THEY HAVE A SAFE ENVIRONMENT TO GO HOME TO. PROGRAM SERVICES Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #2 - OUTPATIENT SERVICES TO CHILDREN WITH COMPLEX MEDICAL NEEDS DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 24,684 UNITS OF OUTPATIENT SERVICES TO CHILDREN REQUIRING INTENSIVE THERAPY. RANKEN JORDAN PROVIDES PHYSICAL, OCCUPATIONAL, SPEECH, AND AQUA THERAPIES ON AN OUTPATIENT BASIS. RANKEN JORDAN ALSO OFFERS A MEDICAL DAY PROGRAM THAT PROVIDES INTENSIVE THERAPY THROUGHOUT THE DAY. PROGRAM SERVICES Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #3 - COMMUNITY PROGRAM A VARIETY OF COMMUNITY PROGRAMS ARE ALSO PROVIDED TO SUPPORT CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES. THESE PROGRAMS ARE ALWAYS OFFERED FREE OF CHARGE AND OPENED TO THE GENERAL PUBLIC. THIS PROGRAM INCLUDES (BUT IS NOT LIMITED TO) SUPPORT GROUPS, SPORTS RELATED ACTIVITIES FOR CHILDREN WITH SPECIAL NEEDS, AND SOCIAL ENRICHMENT ACTIVITIES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS. DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, QUESTION 2 JOHN PROSPERI (BOARD MEMBER) AND ELIZABETH PROSPERI (BOARD MEMBER) HAVE A FAMILY RELATIONSHIP. REVIEW PROCESS FORM 990, PART VI, SECTION B, QUESTION 11B THE INITIAL FORM 990 IS ORIGINALLY PRESENTED TO THE FINANCE COMMITTEE BY OUR INDEPENDENT AUDITORS IN FEBRUARY 2012. ONCE APPROVED BY THE FINANCE COMMITTEE, IT WILL BE MADE AVAILABLE TO THE FULL BOARD ELECTRONICALLY, WITH A PERIOD FOR QUESTIONS. ONCE THE QUESTION PERIOD HAS PASSED, THE FORM 990 WILL BE FILED ELECTRONICALLY BY OUR INDEPENDENT AUDITORS. COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES, OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION. THE CORPORATE COMPLIANCE COMMITTEE HAS OVERSIGHT RESPONSIBILITY FOR THE PROGRAM AND SHALL REPORT TO THE BOARD PERIODICALLY, AS DETERMINED BY THE BOARD, BUT NOT LESS THAN ANNUALLY. THE COMPLIANCE OFFICER CONDUCTS THE DAY-TO-DAY OPERATIONS OF THE PROGRAM, INCLUDING COORDINATION OF THE RECEIPT OF REPORTS OF NONCOMPLIANCE. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A/B THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, UNDER THE ADVISEMENT OF ALEXANDER-SIEFERT CONSULTING GROUP, LLC, MEETS ANNUALLY TO REVIEW THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. THE MEETINGS ARE HELD ANNUALLY IN MAY. THE EXECUTIVE COMPENSATION COMMITTEE FINDINGS ARE APPROVED BY THE BOARD. PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN $1,758,092