SSM AUDRAIN HEALTH CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SSM AUDRAIN HEALTH CARE INC (EIN 43-1550298)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-29
- IRS object ID
- 201243039349300509
- Schema version
- 2011v1.3
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-29T09:47:06-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 211 N BROADWAY SUITE 600 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631022733 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431550298 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Audrain Health Care Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JENNIFER OGDEN | InCareOfName |
| Name Control | AUDR | NameControl |
| Phone | 5735825000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 E MONROE | AddressLine1 |
| City | MEXICO | City |
| State | MO | State |
| ZIP Code | 652652963 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREG SHAW | Name |
| Title | VP/CFO | Title |
| Date Signed | 2012-10-22 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donna J Larson | Name |
| Phone | 3142315544 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUDRAIN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID A NEUENDORF | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 E MONROE | AddressLine1 |
| City | MEXICO | City |
| State | MO | State |
| ZIP Code | 652652963 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 60719570 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AUDRAINMEDICALCENTER.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1918 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | TO CARE FOR THE SICK AND INJURED AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE, IN PARTNERSHIP WITH PHYSICIANS, HEALTHCARE PROVIDERS AND RESIDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 604 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1259552 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1271149 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 56451449 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 55617531 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 228092 | InvestmentIncomePriorYear |
| Investment Income Current Year | 108941 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 572948 | OtherRevenuePriorYear |
| Other Revenue Current Year | 414868 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 58512041 | TotalRevenuePriorYear |
| Total Revenue Current Year | 57412489 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 26098 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 35203 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29187084 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27856793 | 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 | 32041230 | OtherExpensePriorYear |
| Other Expenses Current Year | 31950698 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61254412 | TotalExpensesPriorYear |
| Total Expenses Current Year | 59842694 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2742371 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2430205 | RevenuesLessExpensesCY |
| Total Assets BOY | 33366755 | TotalAssetsBOY |
| Total Assets EOY | 31018249 | TotalAssetsEOY |
| Total Liabilities BOY | 20867120 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 26536821 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12499635 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4481428 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR VISION... TO BE RECOGNIZED AS A "PATIENT FIRST, BEST PRACTICE" HEALTHCARE SYSTEM BY CONTINUOUSLY IMPROVING AND MAINTAINING OUR BALANCE OF: CLINICAL QUALITY, SERVICE/ACCESS, HUMAN RESOURCE DEVELOPMENT, AND FINANCIAL INTEGRITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16489074 | Expense |
| Grants | 35203 | Grants |
| Revenue | 12603546 | Revenue |
| Description | AUDRAIN MEDICAL CENTER PROVIDES INPATIENT CARE TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. INPATIENT CARE SERVICES WERE PROVIDED TO 2,742 CUSTOMERS IN 2011. SEE SCHEDULE O. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22018465 | Expense |
| Grants | 0 | Grants |
| Revenue | 35750211 | Revenue |
| Description | AUDRAIN MEDICAL CENTER PROVIDES OUTPATIENT CARE TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. OUTPATIENT CARE SERVICES WERE PROVIDED TO 78,479 PATIENTS IN 2011. SEE SCHEDULE O. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10256253 | Expense |
| Grants | 0 | Grants |
| Revenue | 7263775 | Revenue |
| Description | AUDRAIN MEDICAL CENTER CLINICS (MEDCHOICE) PROVIDES OUTPATIENT CLINICAL SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. AMC CLINICS PROVIDED OUTPATIENT SERVICES TO 61,550 CUSTOMERS IN 2011. SEE SCHEDULE O. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 48763792 | 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 | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | 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 | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | 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 | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 257 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 604 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 | false | MembersOrStockholders |
| Election Of Board Members | false | 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 | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JENNIFER OGDEN | NamePerson |
| Telephone Number | 5735828095 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 E MONROE | AddressLine1 |
| City | MEXICO | City |
| State | MO | State |
| ZIP Code | 652652963 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DAVID A NEUENDORF | |||||||
| PRESIDENT/CEO & DIRECTOR | 41.58 | X | X | 198660 | 0 | 2400 | |
| STERLING OLIVER | |||||||
| VICE CHAIR BOT & DIRECTOR BOD | 1.48 | X | X | 0 | 0 | 0 | |
| CHARLES SCHAFER | |||||||
| CHAIRMAN BOARD OF DIRECTORS | 1.22 | X | X | 0 | 0 | 0 | |
| DONNA PEAK | |||||||
| DIRECTOR - BOARD OF TRUSTEES | 0.08 | X | 0 | 0 | 0 | ||
| SUE WAECHTER | |||||||
| CHAIRMAN-BOT/DIRECTOR-BOD | 1.61 | X | X | 0 | 0 | 0 | |
| JOHN DIAL | |||||||
| DIRECTOR - BOARD OF DIRECTORS | 0.92 | X | 0 | 0 | 0 | ||
| RANDAL ROBLEY | |||||||
| DIRECTOR - BOARD OF DIRECTORS | 1.04 | X | 0 | 0 | 0 | ||
| MICHAEL QUINLAN MD | |||||||
| PHYSICIAN & MEMBER BOD | 40.95 | X | 364118 | 0 | 10245 | ||
| GENE THOMAS MD | |||||||
| PHYSICIAN & TREASURER BOT | 40.4 | X | X | 400127 | 0 | 0 | |
| KATHY MILLER | |||||||
| DIRECTOR - BOARD OF DIRECTORS | 0.94 | X | 0 | 0 | 0 | ||
| GENEVA ALLISON | |||||||
| CHAIRMAN - BOARD OF DIRECTORS | 0.99 | X | X | 0 | 0 | 0 | |
| WILLIAM DUBBERT | |||||||
| SECRETARY - BOARD OF TRUSTEES | 0.44 | X | X | 0 | 0 | 0 | |
| SUSAN WILBURN | |||||||
| SEC/TREAS - BOARD OF DIRECTORS | 1.06 | X | X | 0 | 0 | 0 | |
| CHARLES TILLMAN | |||||||
| DIRECTOR - BOARD OF DIRECTORS | 0.88 | X | 0 | 0 | 0 | ||
| JO ELLEN CRAGHEAD | |||||||
| DIRECTOR - BOARD OF TRUSTEES | 0.37 | X | 56376 | 0 | 3972 | ||
| GREG SHAW | |||||||
| VP & CHIEF FINANCIAL OFFICER | 40.0 | X | 118140 | 0 | 7749 | ||
| KARI WILSON | |||||||
| VP/DIR OF CLINICAL SERVICES | 40.0 | X | 133729 | 0 | 0 | ||
| PETER PERLL MD | |||||||
| PHYSICIAN | 40.0 | 398033 | 0 | 0 | X | ||
| PEGGY A BARJENBRUCH MD | |||||||
| PHYSICIAN | 40.0 | 355610 | 0 | 9402 | X | ||
| ERIC KONDRO MD | |||||||
| PHYSICIAN | 40.0 | 316624 | 0 | 2045 | X | ||
| SHAHID WAHEED MD | |||||||
| PHYSICIAN | 40.0 | 463530 | 0 | 804 | X | ||
| JOAN SLAUGHTER | |||||||
| CRNA | 40.0 | 257601 | 0 | 4000 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3062548 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 40617 | TotalOtherCompensation |
| Number Individuals GT100 K | 27 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DR BRADLEY BUCHANAN | |||||
| 3 SOUTHMOR | MEXICO | MO | 65265 | ANESTHESIOLOGY | 469332 |
| AUDRAIN EMERGENCY MEDICAL GROUP LLC | |||||
| PO BOX 82368 | LAFAYETTE | LA | 70598 | ER PHYSICIANS | 435076 |
| PATHOLOGY LABORATORIES | |||||
| PO BOX 7406 | COLUMBIA | MO | 65205 | LABORATORY SERVICES | 430064 |
| MEXICO CARDIOGRAPHICS | |||||
| 720 MEDICAL PARK DRIVE | MEXICO | MO | 65265 | EEG/EKG READING | 360750 |
| LTA COMPANY LLC | |||||
| PO BOX 207 | MEXICO | MO | 65265 | ANESTHESIOLOGY | 313875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Related Organizations | 555820 | RelatedOrganizations |
| Government Grants | 708631 | GovernmentGrants |
| All Other Contributions | 6698 | AllOtherContributions |
| Total Contributions | 1271149 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HOSPITAL ROUTINE REVENUE | 621110 | 33967172 | 33967172 |
| ANCILLARY REVENUE | 621400 | 12535345 | 12535345 |
| AMC & MEDCHOICE PHYSICIAN REVENUE | 621400 | 8890014 | 8890014 |
| ELECTRONIC HEALTH RECORDS REVENUE | 900099 | 225000 | 225000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 55617531 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 139278 | TotalRevenueColumn |
| Exclusion | $139,278 | 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 | 124314 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 124314 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 124314 | TotalRevenueColumn |
| Exclusion | $124,314 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3276744 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3307081 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -30337 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -30337 | TotalRevenueColumn |
| Exclusion | -$30,337 | 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 |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 722210 | 226267 | $226,267 |
| MEDICAL RECORDS | 561000 | 26364 | $26,364 |
| MISCELLANEOUS | 900099 | 37923 | $37,923 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 290554 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57412489 | TotalRevenueColumn |
| Related Or Exempt Function Income | 55617531 | RelatedOrExemptFunctionIncome |
| Exclusion | $523,809 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35203 | Total |
| Program Services | 35203 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 1235167 | Total |
| Program Services | 1179886 | ProgramServices |
| Management And General | 55281 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21002907 | Total |
| Program Services | 18390848 | ProgramServices |
| Management And General | 2612059 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1859322 | Total |
| Program Services | 1375898 | ProgramServices |
| Management And General | 483424 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2272773 | Total |
| Program Services | 1998811 | ProgramServices |
| Management And General | 273962 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1486624 | Total |
| Program Services | 1100102 | ProgramServices |
| Management And General | 386522 | 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 | 133651 | Total |
| Program Services | 98902 | ProgramServices |
| Management And General | 34749 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93751 | Total |
| Program Services | 69376 | ProgramServices |
| Management And General | 24375 | 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 | 7025806 | Total |
| Program Services | 5199096 | ProgramServices |
| Management And General | 1826710 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117885 | Total |
| Program Services | 87235 | ProgramServices |
| Management And General | 30650 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14674055 | Total |
| Program Services | 10858801 | ProgramServices |
| Management And General | 3815254 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1794366 | Total |
| Program Services | 1327831 | ProgramServices |
| Management And General | 466535 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49539 | Total |
| Program Services | 36659 | ProgramServices |
| Management And General | 12880 | 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 | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 494957 | Total |
| Program Services | 379723 | ProgramServices |
| Management And General | 115234 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3437589 | Total |
| Program Services | 2637259 | ProgramServices |
| Management And General | 800330 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234626 | Total |
| Program Services | 173623 | ProgramServices |
| Management And General | 61003 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 3587091 | 3587091 | ||
| DUES & SUBSCRIPTIONS | 190151 | 140712 | 49439 | |
| RECRUITMENT ALLOCATION | 117211 | 86736 | 30475 | |
| OTHER - LESS THAN 5% OF TOTAL | 20 | 20 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59842694 | Total |
| Program Services | 48763792 | ProgramServices |
| Management And General | 11078902 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4515 | BOY |
| EOY | 3505 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2438445 | BOY |
| EOY | 1116435 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5918704 | BOY |
| EOY | 5711562 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 601350 | BOY |
| EOY | 513223 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 662343 | BOY |
| EOY | 1508022 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 81986693 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 63993818 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19602285 | BOY |
| EOY | 17992875 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3319071 | BOY |
| EOY | 3525227 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 756331 | BOY |
| EOY | 603054 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63711 | BOY |
| EOY | 44346 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33366755 | BOY |
| EOY | 31018249 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4506968 | BOY |
| EOY | 5930339 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9006552 | BOY |
| EOY | 7172151 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7353600 | BOY |
| EOY | 13434331 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20867120 | BOY |
| EOY | 26536821 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11871649 | BOY |
| EOY | 4016462 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 445708 | BOY |
| EOY | 282688 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182278 | BOY |
| EOY | 182278 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12499635 | BOY |
| EOY | 4481428 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33366755 | BOY |
| EOY | 31018249 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2430205 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -5588002 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | true | GrantsOtherOrganizations |
| Grants Other Organizations | $5,445 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 5445 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORGANIZATION'S DIRECT AND INDIRECT POLITICAL ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART I-A, LINE 1 | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4026495 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | -8789 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 42838 | OtherExpenditures |
| Administrative Expenses | 15398 | AdministrativeExpenses |
| End Of Year Balance | 3959470 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4394653 | BeginningOfYearBalance |
| Contributions | 43181 | Contributions |
| Investment Earnings Or Losses | -296457 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 500 | GrantsOrScholarships |
| Other Expenditures | 105437 | OtherExpenditures |
| Administrative Expenses | 8945 | AdministrativeExpenses |
| End Of Year Balance | 4026495 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4084478 | BeginningOfYearBalance |
| Contributions | 244672 | Contributions |
| Investment Earnings Or Losses | 1808806 | InvestmentEarningsOrLosses |
| Other Expenditures | 1724140 | OtherExpenditures |
| Administrative Expenses | 19164 | AdministrativeExpenses |
| End Of Year Balance | 4394652 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5028947 | BeginningOfYearBalance |
| Contributions | 443106 | Contributions |
| Investment Earnings Or Losses | 550679 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 500 | GrantsOrScholarships |
| Other Expenditures | 1913138 | OtherExpenditures |
| Administrative Expenses | 24616 | AdministrativeExpenses |
| End Of Year Balance | 4084478 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.57805 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.42195 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 782780 | OtherCostOrOtherBasis |
| Book Value | 782780 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37568532 | OtherCostOrOtherBasis |
| Depreciation | 27384941 | Depreciation |
| Book Value | 10183591 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39888813 | OtherCostOrOtherBasis |
| Depreciation | 34340884 | Depreciation |
| Book Value | 5547929 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3746568 | OtherCostOrOtherBasis |
| Depreciation | 2267993 | Depreciation |
| Book Value | 1478575 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17992875 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED PENSION LIABILITY | $12,959,170 |
| ASSET RETIREMENT OBLIGATION | $475,161 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13434331 | TotalOfAmounts |
| Total Revenue | 57412489 | TotalRevenue |
| Total Expenses | 59842694 | TotalExpenses |
| Excess Or Deficit For Year | -2430205 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -116251 | NetUnrealizedGLOnInvestments |
| Other | -$5,308,731 | OtherAmount |
| Total Adjustments | -5424982 | TotalAdjustments |
| Excess Or Deficit Per FS | -7855187 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 57285514 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -116251 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -116251 | RevenueNotRptdF990 |
| Revenue Subtotal | 57401765 | RevenueSubtotal |
| Other Revenues Not Included | 10724 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 10724 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 57412489 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 59822226 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 59822226 | ExpensesSubtotal |
| Other Expenses Not Included | 20468 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 20468 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 59842694 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| USE OF ENDOWMENT FUNDS | SCHEDULE D, PART V, LINE 4 | ALL FUNDS ARE USED TO PROVIDE HEALTH CARE SERVICES, CAPITAL IMPROVEMENTS, AND FUND DEPRECIATION. THE BONDS ARE HELD BY THE TRUSTEE. |
| RECONCILIATION OF CHANGE IN NET ASSETS ON FORM 990 TO FINANCIAL STMTS | SCHEDULE D, PART XI, LINE 8 | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 9,751 OTHER ADJUSTMENTS -7 CHANGE IN MINIMUM PENSION LIABILITY -5,318,475 - - - - TOTAL -5,308,731 |
| RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO REVENUE PER RETURN | SCHEDULE D, PART XII, LINE 4B | INCOME INCLUDED IN AUDITED FINANCIAL STATEMENTS AS NEGATIVE EXPENSE 20,468 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -9,751 OTHER ADJUSTMENTS 7 - - - - TOTAL 10,724 |
| RECONCILIATION OF EXPENSE PER FINANCIAL STATEMENTS TO EXPENSE PER RETURN | SCHEDULE D, PART XII, LINE 4B | INCOME INCLUDED IN AUDITED FINANCIAL STATEMENTS AS NEGATIVE EXPENSE 20,468 |
| 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| 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 | 1372529 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1372529 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02440 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8190000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7455000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 735000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9562529 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7455000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2107529 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03750 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 57284 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11278 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46006 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15458 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12858 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17832007 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9823747 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8008260 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10940 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60007 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 60007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17964756 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9837625 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8127131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11150 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27527285 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17292625 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10234660 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14900 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 8655 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8655 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 203425 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 203425 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 101338 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 101338 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 313418 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 313418 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,441,652 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 18734504 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19637289 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -902785 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| 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 | AUDRAIN MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 E MONROE | AddressLine1 |
| City | MEXICO | City |
| State | MO | State |
| ZIP Code | 65265 | 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 | AUDRAIN MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MEXICO HEALTH SERVICES | ||||
| 600 MEDICAL PARK DR | MEXICO | MO | 65265 | OUTPATIENT PHYSICIAN CLINIC |
| MEXICO PEDIATRIC SERVICES | ||||
| 1025 OLD FARM RD | MEXICO | MO | 65265 | OUTPATIENT PHYSICIAN CLINIC |
| MEXICO FAMILY HEALTH CARE | ||||
| 626 SUMMIT SUITE L | MEXICO | MO | 65265 | OUTPATIENT PHYSICIAN CLINIC |
| WELLSVILLE MEDICAL CLINIC | ||||
| 111 W BATES | WELLSVILLE | MO | 63384 | OUTPATIENT PHYSICIAN CLINIC |
| SUMMIT MEDICAL PARK LAB & X-RAY | ||||
| 626 SUMMIT | MEXICO | MO | 65265 | LAB & X-RAY SERVICES |
| MEXICO SURGICAL SERVICES | ||||
| 625 SUMMIT SUITE F | MEXICO | MO | 65265 | OUTPATIENT PHYSICIAN CLINIC |
| MEDICAL PARK FAMILY PRACTICE | ||||
| 809 MEDICAL PARK DR SUITE 101 | MEXICO | MO | 65265 | OUTPATIENT PHYSICIAN CLINIC |
| MONTGOMERY CITY MEDICAL CLINIC | ||||
| 240 NORTH PICKERING | MONTGOMERY CITY | MO | 63361 | OUTPATIENT PHYSICIAN CLINIC |
| VANDALIA MEDICAL CLINIC | ||||
| 204 W WASHINGTON | VANDALIA | MO | 63382 | OUTPATIENT PHYSICIAN CLINIC |
| AUDRAIN FAMILY HEALTH | ||||
| 625 SUMMIT SUITE B | MEXICO | MO | 65265 | OUTPATIENT PHYSICIAN CLINIC |
| PERRY MEDICAL CLINIC | ||||
| 1223 MAIN STREET | PERRY | MO | 63462 | OUTPATIENT PHYSICIAN CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7G: | INCLUDED IN SCHEDULE H, PART I, LINE 7G ARE $6,156,528 OF EXPENSES ATTRIBUTABLE TO PHYSICIAN CLINICS. | |
| PART I, LINE 7, COLUMN F: | THE ORGANIZATION HAD BAD DEBT EXPENSE OF $3,587,091 REPORTED ON PART IX, LINE 24A. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. | |
| PART I, LINE 7: | THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED A COST ACCOUNTING METHOD. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. | |
| PART III, LINE 4: | 4A. RELATIVE PORTION OF PATIENT ACCOUNTS RECEIVABLE FOOTNOTE: "ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT." 4B. COSTING METHODOLOGY USED TO DETERMINE AMOUNTS REPORTED AS BAD DEBTS AND BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER CHARITY CARE POLICY. BAD DEBT IS ESTIMATED USING THE PERCENTAGE OF OPERATING EXPENSE TO PATIENT REVENUE. IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO COULD QUALIFY FOR CHARITY CARE DUE TO THE LIMITED NUMBER OF FINANCIAL APPLICATIONS COMPLETED BY PATIENTS. IN ADDITION, BECAUSE WE ARE A COMMUNITY HOSPITAL, WE WILL NOT ATTACH LIENS TO REAL OR PERSONAL PROPERTY AND WE DON'T GARNISH WAGES. | |
| PART III, LINE 8: | LINE 6 IS REPORTED AS SHOWN ON THE ORGANIZATION'S COST REPORT, WORKSHEET D, PART V, OUTPATIENT, WORKSHEET D-4, HOSPITAL AND SUB PROVIDER. | |
| PART III, LINE 9B: | PATIENTS IN NEED OF FINANCIAL ASSISTANCE COMPLETE AN APPLICATION AND THE LATEST AVAILABLE FEDERAL POVERTY GUIDELINE IS USED TO DETERMINE THOSE WHO QUALIFY. NORMAL COLLECTION EFFORTS ARE MADE ON ANY REMAINING BALANCE AFTER CHARITY CARE OR FINANCIAL ASSISTANCE WRITE OFF'S ARE APPLIED TO THE ACCOUNT. | |
| PART V, LINE 19 | AUDRAIN MEDICAL CENTER PROVIDES AN AUTOMATIC 25% DISCOUNT FOR SELF-PAY PATIENTS. FURTHER DISCOUNTS OF UP TO 100% ARE GIVEN TO PATIENTS IF THEY QUALIFY UNDER THE FAP. | |
| NEEDS ASSESSMENT: | THE ORGANIZATION PROVIDES A NUMBER OF PROGRAMS AND SERVICES SUCH AS: PROMOTING HEALTH AND EDUCATION, HEALTH SCREENING, TRAINING OF HEALTH PROFESSIONALS, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. PROGRAMS LIKE THESE ALONG WITH INPUT FROM THE COMMUNITY ALLOWS US TO ASSESS THE HEALTH CARE AND SPECIAL NEEDS OF OUR COMMUNITY AND SURROUNDING COUNTIES. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | AT THE TIME OF REGISTRATION, THE PATIENT (OR THE RESPONSIBLE PARTY) WILL BE INFORMED OF PAYMENT EXPECTATIONS FOR SERVICES RECEIVED. A PATIENT CREDIT SERVICES EMPLOYEE WILL BE AVAILABLE TO DISCUSS FINANCIAL CONCERNS WITH THE RESPONSIBLE PARTY, INCLUDING EDUCATING THE RESPONSIBLE PARTY ON VARIOUS OPTIONS AVAILABLE TO THEM INCLUDING MEDICAID, MEDICARE, AS WELL AS CHARITY CARE. | |
| COMMUNITY INFORMATION: | AUDRAIN HEALTH CARE, INC. IS THE SOLE HEALTH CARE PROVIDER IN THE COMMUNITY SERVING THREE COUNTIES WITH A POPULATION OF 47,000. THE ORGANIZATION ALSO PROVIDES HEALTH CARE SERVICES THROUGH A NUMBER OF CLINICS. | |
| PROMOTION OF COMMUNITY HEALTH: | AUDRAIN HEALTH CARE, INC. PROVIDES CLASSES AND SUPPORT GROUP MEETINGS COVERING AN ARRAY OF TOPICS, EXAMPLES OF WHICH INCLUDE THE FOLLOWING: DIABETES SUPPORT GROUP, CANCER SUPPORT GROUP, NUTRITION EDUCATION FROM PRESCHOOL TO ELDERLY, DIVER SAFETY CLASSES, WOMEN'S HEALTH CONFERENCE, SAFE SITTER CLASSES, WELLNESS SCREENINGS, HEALTH FAIRS, SCOLIOSIS SCREENING, CHILDBIRTH AND BREASTFEEDING CLASSES, GRIEF SUPPORT GROUPS, AND MANY MORE. | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | MO, | 990 SCHEDULE H, PART VI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUDRAIN CITY-COUNTY HEALTH UNIT | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 EAST PROMENADE | AddressLine1 |
| City | MEXICO | City |
| State | MO | State |
| ZIP Code | 65265 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 430783311 | EINOfRecipient |
| Amount Of Cash Grant | 19292 | AmountOfCashGrant |
| Purpose Of Grant | OPERATING EXPENSES | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING PROCEDURES FOR GRANTS PAID | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE ORGANIZATION REVIEWS REPORTS OF OPERATING EXPENSES RECEIVED FROM THE RECIPIENT THROUGHOUT THE YEAR. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID A NEUENDORF | |||||||||||||
| 196844 | 0 | 0 | 0 | 1816 | 0 | 0 | 0 | 2400 | 0 | 201060 | 0 | 0 | 0 |
| PETER PERLL MD | |||||||||||||
| 397464 | 0 | 0 | 0 | 569 | 0 | 0 | 0 | 0 | 0 | 398033 | 0 | 0 | 0 |
| PEGGY A BARJENBRUCH MD | |||||||||||||
| 352046 | 0 | 0 | 0 | 3564 | 0 | 0 | 0 | 9402 | 0 | 365012 | 0 | 0 | 0 |
| ERIC KONDRO MD | |||||||||||||
| 314838 | 0 | 0 | 0 | 1786 | 0 | 0 | 0 | 2045 | 0 | 318669 | 0 | 0 | 0 |
| MICHAEL QUINLAN MD | |||||||||||||
| 363507 | 0 | 0 | 0 | 611 | 0 | 0 | 0 | 10245 | 0 | 374363 | 0 | 0 | 0 |
| GENE THOMAS MD | |||||||||||||
| 389002 | 0 | 0 | 0 | 11125 | 0 | 0 | 0 | 0 | 0 | 400127 | 0 | 0 | 0 |
| SHAHID WAHEED MD | |||||||||||||
| 459660 | 0 | 0 | 0 | 3870 | 0 | 0 | 0 | 804 | 0 | 464334 | 0 | 0 | 0 |
| JOAN SLAUGHTER | |||||||||||||
| 255300 | 0 | 0 | 0 | 2301 | 0 | 0 | 0 | 4000 | 0 | 261601 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| LISA NEUENDORF | |||
| WIFE OF CEO, D. NEUENDORF | 64493 | EMPLOYMENT | false |
| SHELLIE SHAW | |||
| WIFE OF VP-CFO, G. SHAW | 51317 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 2011 COMMUNITY BENEFIT REPORT | FORM 990, SUPPLEMENT TO PART III, LINE 4A, 4B, & 4C | I. EXECUTIVE SUMMARY AUDRAIN MEDICAL CENTER WAS ESTABLISHED IN 1918 TO CARE FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE AS MENTIONED IN OUR MISSION STATEMENT ON THE NEXT PAGE. AUDRAIN MEDICAL CENTER IS A LICENSED 88 BED HOSPITAL AND OWNS 10 PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL IS A SOLE COMMUNITY PROVIDER AND ALONG WITH ITS CLINICS IS OPERATED IN MEDICALLY UNDERSERVED AREAS AS DETERMINED BY THE FEDERAL GOVERNMENT. OUR PRIMARY SERVICE AREA CONSISTS OF THREE COUNTIES WITH A POPULATION OF OVER 47,000. AS PART OF A NATIONAL REPORTING PROJECT CALLED "THE QUALITY INITIATIVE: A PUBLIC RESOURCE ON HOSPITAL PERFORMANCE," WE COLLECTED AND REPORTED DATA ON HEART ATTACKS, HEART FAILURES, PNEUMONIA, SURGICAL COMPLICATION AND INFECTION PREVENTION, AND THE PERCENTAGE OF TIME WE GAVE THE CURRENTLY RECOMMENDED CARE. AUDRAIN MEDICAL CENTER CONTINUES TO BE ABOVE THE NATIONAL AVERAGE IN ALL CATEGORIES OF CARE. IN ADDITION TO THE HIGH QUALITY CARE PATIENTS RECEIVE AND THE SERVICES THAT ARE NORMALLY OFFERED AT RURAL COMMUNITY HOSPITALS, WE ALSO PROVIDE A NUMBER OF SERVICES THAT ARE NOT TYPICALLY FOUND AT THOSE SAME HOSPITALS. THESE SERVICES INCLUDE: ANGIOPLASTY CARDIAC CATHETERIZATION LAB CARDIAC REHAB CARDIOLOGY CHEMO THERAPY ECHO EKG GASTROENTEROLOGY NUCLEAR CARDIOLOGY OPHTHALMOLOGY OTOLARYNGOLOGY PET SCANS PULMONARY MEDICINE RADIATION THERAPY RHEUMATOLOGY STRESS TESTING UROLOGY VASCULAR STUDIES NOT ONLY DO WE PROVIDE HIGH QUALITY CARE, BUT WE ACHIEVE THAT LEVEL OF SERVICE WITH SOME OF THE LOWEST CHARGES IN MISSOURI. MEDICARE PROVIDER ANALYSIS AND REVIEW (MEDPAR) WHICH CONTAINS 100% OF MEDICARE HOSPITAL DISCHARGES AND IS BASED ON ACTUAL BILLS SUBMITTED BY PROVIDERS TO MEDICARE FOR PAYMENT SHOW THAT WE CONSISTENTLY HAVE CHARGES IN THE BOTTOM QUARTILE OF ALL HOSPITALS IN THE STATE OF MISSOURI. OUR MISSION TO CARE FOR THE SICK AND INJURED AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE, IN PARTNERSHIP WITH PHYSICIANS, HEALTHCARE PROVIDERS AND RESIDENTS. OUR VISION TO BE RECOGNIZED AS A "PATIENT FIRST, BEST PRACTICE" HEALTHCARE SYSTEM BY CONTINUOUSLY IMPROVING AND MAINTAINING OUR BALANCE OF: CLINICAL QUALITY SERVICE/SATISFACTION RESOURCE DEVELOPMENT FINANCIAL INTEGRITY OUR VALUES TO LIVE BY OUR STANDARDS OF SERVICE: STANDARD #1 - MAKE POSITIVE FIRST IMPRESSIONS OUR FIRST PRIORITY STANDARD #2 - TREAT OTHERS AS GUEST STANDARD #3 - DEVELOP "SERVICE RECOVERY" STANDARD #4 - COMMUNICATE EFFECTIVELY STANDARD #5 - SERVE OTHERS FROM THE TEAM-CENTERED APPROACH STANDARD #6 - PROJECT A POSITIVE ATTITUDE STANDARD #7 - MAKE EXCELLENCE THE GOAL OF EVERYTHING WE DO PROGRAMS FOR THE POOR AND BROADER COMMUNITY IN FISCAL YEAR 2011, WE HAD OVER 160,000 VISITS TO THE HOSPITAL AND CLINICS. A SIGNIFICANT NUMBER OF THOSE PEOPLE WOULD BE CLASSIFIED AS POOR. THE POOR ARE DEFINED AS THOSE PERSONS WHO BECAUSE OF INADEQUATE RESOURCES CANNOT AFFORD HEALTHCARE AND ARE UNINSURED OR UNDERINSURED. IN ADDITION TO DIRECT HEALTHCARE SERVICES, WE ALSO PROVIDE A NUMBER OF OTHER PROGRAMS AND SERVICES TO THE POOR AND BROADER COMMUNITY. PROGRAMS AND SERVICES INCLUDE HEALTH PROMOTION AND EDUCATION, HEALTH SCREENING, TRAINING OF HEALTH PROFESSIONALS, CASH AND IN-KIND DONATIONS TO OTHER LOCAL CHARITABLE ORGANIZATIONS, ECONOMIC DEVELOPMENT, LOCAL SUPPORT SYSTEM ENHANCEMENTS, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE BENEFITS PROVIDED BY AUDRAIN MEDICAL CENTER TO THE COMMUNITY ARE QUANTIFIED ON THE NEXT PAGE. |
| 2011 COMMUNITY BENEFIT REPORT CONTINUED | CHARITY CARE, BAD DEBT, AND UNINSURED DISCOUNT 1. TOTAL EXPENSE 3,135,000 2. OFFSETTING REVENUE - 3. NET COMMUNITY BENEFIT 3,135,000 4. % HOSPITAL EXPENSES 5.76% UNPAID COSTS OF PUBLIC PROGRAMS - MEDICAID 1. TOTAL EXPENSE 8,190,000 2. OFFSETTING REVENUE 7,455,000 3. NET COMMUNITY BENEFIT 735,000 4. % HOSPITAL EXPENSES 1.35% NONBILLED COMMUNITY HEALTH SERVICES - COMMUNITY EDUCATION/OUTREACH SCREENINGS, OTHER NONBILLED SERVICES 1. TOTAL EXPENSE 55,000 2. OFFSETTING REVENUE 10,000 3. NET COMMUNITY BENEFIT 45,000 4. % HOSPITAL EXPENSES 0.08% MEDICAL EDUCATION - PHYSICIANS, NURSES, TECHS, AND OTHER PROFESSIONALS 1. TOTAL EXPENSE 15,000 2. OFFSETTING REVENUE 2,500 3. NET COMMUNITY BENEFIT 12,500 4. % HOSPITAL EXPENSES 0.02% SUBSIDIZED HEALTH SERVICES - AMBULANCE, BEHAVIORAL HEALTH, EMERGENCY DEPARTMENT, OBSTETRICS, PRIMARY CARE CLINICS 1. TOTAL EXPENSE 17,830,000 2. OFFSETTING REVENUE 9,820,000 3. NET COMMUNITY BENEFIT 8,010,000 4. % HOSPITAL EXPENSES 14.73% CASH/IN-KIND DONATIONS 1. TOTAL EXPENSE 60,000 2. OFFSETTING REVENUE - 3. NET COMMUNITY BENEFIT 60,000 4. % HOSPITAL EXPENSES 0.11% COMMUNITY BUILDING ACTIVITIES 1. TOTAL EXPENSE 315,000 2. OFFSETTING REVENUE - 3. NET COMMUNITY BENEFIT 315,000 4. % HOSPITAL EXPENSES 0.58% TOTAL QUANTIFIABLE BENEFITS 1. TOTAL EXPENSE 29,600,000 2. OFFSETTING REVENUE 17,287,500 3. NET COMMUNITY BENEFIT 12,312,500 4. % HOSPITAL EXPENSES 22.64% TOTAL QUANTIFIABLE COMMUNITY BENEFITS THE TOTAL QUANTIFIABLE COMMUNITY BENEFITS TO THE POOR AND BROADER COMMUNITY FOR AUDRAIN MEDICAL CENTER FOR FISCAL YEAR 2011 WAS $12,312,500 IN UNREIMBURSED BENEFIT EXPENSES WHICH IS 23.02% OF AUDRAIN MEDICAL CENTER'S TOTAL EXPENSES. BEING A NON-PROFIT TAX EXEMPT ORGANIZATION, AUDRAIN MEDICAL CENTER INVESTED $12,312,500 OF ITS EXPENSE DOLLARS INTO PROGRAMS AND SERVICES THAT BENEFIT THE POOR AND THE BROADER COMMUNITY. IF AUDRAIN MEDICAL CENTER WAS A FOR-PROFIT TAX PAYING ENTITY, IT IS ESTIMATED THAT ITS 2011 BILL FOR FEDERAL, STATE, PROPERTY, AND SALES TAX WOULD HAVE TOTALED $2,100,000. IN FISCAL YEAR 2011, AUDRAIN MEDICAL CENTER INVESTED ITS OWN EXPENSE DOLLARS AT ALMOST 6-TO-1 OVER WHAT ITS TAX LIABILITY WOULD BE IF IT WERE A TAX-PAYING ORGANIZATION. THE ABOVE SERVICES WHICH ARE DESCRIBED IN MORE DETAIL LATER IN THIS REPORT REPRESENT THE OBLIGATIONS THAT ACCOMPANY OUR PRIVILEGE OF TAX-EXEMPT STATUS. II. COMMUNITY OUTREACH FOR THE POOR FINANCIAL ASSISTANCE COUNSELING STAFF IN PATIENT CREDIT SERVICES PROVIDE FINANCIAL COUNSELING TO PATIENTS WHO ARE UNABLE TO PAY THEIR HOSPITAL BILL. ASSISTANCE INCLUDES ASSESSING THE PATIENT'S LIABILITY, DETERMINING AVAILABLE FUNDING SOURCES SUCH AS MEDICAID OR MEDICARE, AND DETERMINING WHETHER THEY ARE ELIGIBLE FOR CHARITY CARE. WE ALSO DISCOUNT PATIENT BILLS BASED ON A SLIDING SCALE. PATIENTS WILL RECEIVE A 100% DISCOUNT IF THEY ARE AT OR BELOW THE FEDERAL POVERTY GUIDELINES. THE DISCOUNT GETS PHASED OUT AT 200% OF THE FEDERAL POVERTY GUIDELINES. UNINSURED DISCOUNT/ADMINISTRATIVE ADJUSTMENTS UNINSURED PATIENTS AUTOMATICALLY RECEIVE A 25% DISCOUNT OFF THEIR HOSPITAL BILL. IN ADDITION TO THE UNINSURED DISCOUNT, PATIENTS MAY ALSO RECEIVE AN ADMINISTRATIVE ADJUSTMENT DEPENDING UPON THEIR FINANCIAL SITUATION. PATIENTS RECEIVING AN ADMINISTRATIVE ADJUSTMENT WILL HAVE THEIR BILL DISCOUNTED FURTHER UP TO 100% IF THE AMOUNT OWED EQUALS OR EXCEEDS 50% OF THE ANNUAL INCOME OF THE PATIENT FOR THE LAST TWELVE MONTHS. III. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY IN FISCAL YEAR 2011, AUDRAIN MEDICAL CENTER SERVED THE BROADER COMMUNITY THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONAL'S EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH/IN-KIND DONATIONS, AND COMMUNITY BUILDING ACTIVITIES. THESE EFFORTS ARE DESCRIBED BELOW. A. COMMUNITY HEALTH SERVICES INCLUDED IN THIS CATEGORY ARE ACTIVITIES THAT HAVE BEEN CARRIED OUT TO IMPROVE THE HEALTH OF THE COMMUNITY. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS, ALTHOUGH THERE MAY BE A NOMINAL FEE CHARGED TO PARTICIPANTS. " COMMUNITY HEALTH EDUCATION AUDRAIN MEDICAL CENTER HOSTED NUMEROUS CLASSES THROUGHOUT THE YEAR TO IMPROVE THE HEALTH OF AREA RESIDENTS. SOME OF THOSE CLASSES INCLUDED CHILDBIRTH; DIABETES AND HEALTHY FOOD EDUCATION; CANCER CONFERENCES INCLUDING AMERICAN CANCER SURVIVOR, CANCER CARE WORKSHOP, AND CANCER SCREENING; AND THE WOMEN'S HEALTH CONFERENCE. " COMMUNITY BASED CLINICAL SERVICES AUDRAIN MEDICAL CENTER ALSO SPONSORED NUMEROUS HEALTH FAIRS AND WELLNESS SCREENINGS THROUGHOUT THE SURROUNDING AREA. THESE EVENTS WERE HELD IN AUXVASSE, MEXICO, MONTGOMERY CITY, AND LOCAL BUSINESSES. " HEALTH CARE SUPPORT SERVICES FINALLY, AUDRAIN MEDICAL CENTER HAS 105 VOLUNTEERS WHO WORKED ALMOST 17,200 HOURS IN FISCAL YEAR 2011. THEY HELPED THE ELDERLY AT HOME BY OFFERING ASSISTANCE WITH SHOPPING, PAYING BILLS, TRANSPORTATION, CLEANING THEIR HOUSE, AND HELPING THEM MOVE TO NURSING HOMES. THE VOLUNTEERS ALSO HELPED AT THE VARIOUS WELLNESS SCREENINGS AND IMMUNIZATION CLINICS, ASSISTED PATIENTS AND FAMILIES DURING THEIR VISIT TO THE HOSPITAL AND WORKED IN THE GIFT SHOP. ALSO, INDIVIDUALS WHO ARE REQUIRED TO COMPLETE COMMUNITY SERVICE HAVE THAT ABILITY THROUGH THE VOLUNTEER PROGRAM AT AUDRAIN MEDICAL CENTER. | |
| 2011 COMMUNITY BENEFIT REPORT CONTINUED | B. MEDICAL EDUCATION AUDRAIN MEDICAL CENTER IS COMMITTED TO EDUCATING PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN ORDER TO IMPROVE THEIR CLINICAL SKILLS. AN AREA OF EMPHASIS AT THE HOSPITAL IS THE DETECTION AND TREATMENT OF CANCER. TO EDUCATE PHYSICIANS IN NEW CONCEPTS OF TREATING CANCER AND MAKING APPROPRIATE REFERRALS WE HOST A MONTHLY SURGICAL ONCOLOGY CONFERENCE COMPRISED OF MEDICAL STAFF, CLINICAL AND SUPPORT DEPARTMENT EMPLOYEES. CASE PRESENTATIONS ARE GIVEN BY ATTENDING PHYSICIANS AND INVOLVE A MULTI-DISCIPLINARY DISCUSSION OF THE TREATMENT PLAN INCLUDING THE MEDICAL ONCOLOGIST, RADIATION ONCOLOGIST, AND ANCILLARY DEPARTMENTS. WE ALSO SPONSOR THE ANNUAL MID-MISSOURI REGIONAL CANCER CONFERENCE. THIS CONFERENCE IS DESIGNED FOR PHYSICIANS, NURSES, CLERGY, HOME HEALTH PROFESSIONALS, DIETITIANS AND OTHER HEALTHCARE PROFESSIONALS WHO SUPPORT AND CARE FOR PEOPLE WITH CANCER. TOPICS AT THE CONFERENCE INCLUDED IDENTIFYING CURRENT DRUGS USED IN CHRONIC PAIN MANAGEMENT AND VARIOUS METHODS OF DELIVERY, SUMMARIZING THE ROLE AND PURPOSE OF AN ONCOLOGY PATIENT ADVOCATE, AND IDENTIFYING ADJUVANT AND FIRST-LINE TREATMENT OPTIONS FOR COLON CANCER. IN 2005 THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC) RECOGNIZED OUR COMMITMENT TO QUALITY IN OUR CANCER PROGRAM BY AWARDING US THE OUTSTANDING ACHIEVEMENT AWARD. THE COC SETS STANDARDS FOR QUALITY AND MULTIDISCIPLINARY CANCER PATIENT CARE AND COLLECTS QUALITY DATA FROM FACILITIES TO DEVELOP EFFECTIVE EDUCATIONAL INTERVENTIONS TO IMPROVE CANCER CARE OUTCOMES AT THE NATIONAL, STATE AND LOCAL LEVEL. APPROVAL BY THE COC IS GIVEN ONLY TO THOSE FACILITIES THAT PROVIDE THE HIGHEST LEVEL OF QUALITY CANCER CARE AND UNDERGO A RIGOROUS EVALUATION PROCESS AND REVIEW OF THEIR PERFORMANCE. IN 2006 AND 2009 WE WERE GIVEN THE THREE YEAR APPROVAL AWARD WITH COMMENDATION AS THERE WERE NO DEFICIENCIES FOUND DURING THE SURVEY PROCESS. THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC) HAS AWARDED AUDRAIN MEDICAL CENTER AN OUTSTANDING ACHIEVEMENT AWARD, RECOGNIZING AMC'S COMMITMENT TO QUALITY IN ITS CANCER PROGRAM. AUDRAIN MEDICAL CENTER IS ONE OF ONLY 90 HOSPITALS NATIONWIDE AND THE ONLY ONE IN MISSOURI TO RECEIVE OUTSTANDING ACHIEVEMENT STATUS IN 2010. THIS IS THE THIRD CONSECUTIVE TIME AUDRAIN MEDICAL CENTER HAS ACHIEVED THIS LEVEL OF RECOGNITION FROM THE COC. AUDRAIN MEDICAL CENTER HAS ALSO BEEN RECOGNIZED IN CARECHEX 2011 FOR OUTSTANDING PERFORMANCE IN PATIENT SAFETY FOR OVERALL HOSPITAL CARE. AMC RANKED AMONG THE TOP 2% OF ALL HOSPITALS IN THE NATION IN THIS CATEGORY AT 98.7%. HEALTHGRADES USED THE AHRQ'S 13 PATIENT SAFETY INDICATORS - INCIDENTS SUCH AS FOREIGN OBJECTS LEFT IN A BODY FOLLOWING A PROCEDURE, EXCESSIVE BRUISING OR BLEEDING AS A RESULT OF SURGERY, BLOODSTREAM INFECTIONS FROM CATHETERS, AND BED SORES - TO IDENTIFY THOSE HOSPITALS PERFORMING IN THE TOP FIVE PERCENT IN THE NATION, NAMING THEM PATIENT SAFETY EXCELLENCE AWARD RECIPIENTS. AUDRAIN MEDICAL CENTER WAS NAMED A 2011 PATIENT SAFETY EXCELLENCE AWARD RECIPIENT. PRIMARY CARE CONFERENCES ARE OFFERED MONTHLY TO PHYSICIANS AS AN EDUCATIONAL TOOL. SOME OF THE TOPICS COVERED IN 2011 INCLUDED DEVELOPMENTAL SCREENING, TRAVEL MEDICINE/INFECTION DISEASE, CONSCIOUS SEDATION, WEIGHT LOSS MANAGEMENT, STROKE MANAGEMENT, AND DIABETES MELLITUS. WE ALSO PARTNERED WITH THE MOBERLY AREA COMMUNITY COLLEGE FOR THE NURSE CAMP PROGRAM. THIS IS A PROGRAM WHICH OFFERS CPR CLASSES TO HIGH SCHOOL STUDENTS LOOKING TO ENTER NURSING AS AN OCCUPATION. ACLS AND BLS CLASSES ARE PROVIDED TO HOSPITAL EMPLOYEES AND PRACTICAL NURSES FROM THE ADVANCED TECHNOLOGY CENTER. WE ALSO PROVIDE BLS TRAINING TO THE PUBLIC IN GENERAL. AUDRAIN MEDICAL CENTER ALSO SERVED AS A SITE FOR A SOCIAL WORKER INTERNSHIP IN 2011 FROM THE UNIVERSITY OF MISSOURI. FURTHERMORE, WE SERVE AS A CLINICAL ROTATION SITE FOR PHARMACY, DIETARY, PARAMEDIC, SURGICAL TECH, PHYSICAL THERAPY AND LAB TECH STUDENTS. RN STUDENTS ALSO ROTATE THROUGH OUR OBSTETRICS UNIT. C. SUBSIDIZED SERVICES WE OFFER SEVERAL CLINICAL PATIENT CARE SERVICES TO THE COMMUNITY THAT GENERATE A BILL FOR REIMBURSEMENT BUT WHICH DOES NOT COVER THE COSTS FOR THOSE SERVICES. THE SERVICES ARE PROVIDED DESPITE A NEGATIVE MARGIN BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING TO PROVIDE THEM. SOME OF THE SUBSIDIZED SERVICES ARE DISCUSSED BELOW. OBSTETRICS. IN 2011 WE HAD 163 DELIVERIES THAT WERE IN THE HOSPITAL FOR 349 DAYS. WITHOUT THIS SERVICE BEING OFFERED BY THE HOSPITAL, PATIENTS WOULD HAVE TO TRAVEL MORE THAN 30 MILES TO THE NEXT AVAILABLE HOSPITAL. . PRIMARY AND SPECIALTY CARE CLINICS. IN ORDER TO IMPROVE ACCESS TO PRIMARY CARE IN THE COUNTIES OF AUDRAIN, MONTGOMERY, AND RALLS WHICH ARE ALL FEDERAL MEDICALLY UNDERSERVED AREAS, AUDRAIN MEDICAL CENTER OWNS AND OPERATES EIGHT DIFFERENT CLINICS IN THE TOWNS OF MEXICO, MONTGOMERY CITY, PERRY, VANDALIA AND WELLSVILLE. MEXICO IS THE LARGEST TOWN AT 11,320. THE OTHER TOWNS RANGE IN SIZE FROM 650 TO 3,770. D. CASH/IN-KIND DONATIONS " CASH DONATIONS. DURING 2011 AUDRAIN MEDICAL CENTER DONATED FUNDS TO NUMEROUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. ORGANIZATIONS THAT RECEIVED FUNDS DURING THE YEAR INCLUDED AMERICAN CANCER SOCIETY/RELAY FOR LIFE, BUDDY PACK PROGRAM FOR LOCAL SCHOOL CHILDREN, MEXICO CHAMBER OF COMMERCE, MEXICO DIXIE GRAY BAND PARENTS, MEXICO LEDGER, MEXICO HIGH SCHOOL AFTER PROM COMMITTEE, MEXICO JAYCEES, MEXICO YMCA, MISSOURI PHYSICIANS HEALTH PROGRAM, AND THE ROTARY FOUNDATION. " IN-KIND DONATIONS. WE ALSO PROVIDED MEETING ROOM SPACE FOR VARIOUS COMMUNITY ORGANIZATIONS SUCH AS THE AUDRAIN COUNTY HUMAN SERVICES COUNCIL, COMMUNITY BLOOD DRIVE, THE COUNTY COMMISSIONER, RELAY FOR LIFE, THE UNITED WAY, AND AUDRAIN CITY-COUNTY HEALTH UNIT. FINALLY, EMPLOYEES HAVE JOINED AND PARTICIPATE IN VARIOUS SERVICE CLUBS AND ORGANIZATIONS SUCH AS AARP, ALTRUSA, AUDRAIN CITY-COUNTY HEALTH UNIT, AUDRAIN COUNTY HUMAN SERVICES COUNCIL, HATTON WOMEN'S CLUB, MEXICO CHAMBER OF COMMERCE, MEXICO COMMUNITY BETTERMENT, MEXICO HUMAN RESOURCE ASSOCIATION, MEXICO KIWANIS, MEXICO ROTARY CLUB, MEXICO WOMEN'S CLUB, MEXICO YMCA, MINISTERIAL ALLIANCE, PARIS CHAMBER OF COMMERCE, PARIS ROTARY CLUB, PRESSER HALL PERFORMING ARTS, SOCIETY FOR HEALTHCARE STRATEGY, VANDALIA CHAMBER OF COMMERCE, AND WELLSVILLE PRAIRIE HOME SOCIETY. E. COMMUNITY BUILDING ACTIVITIES WE ARE ALSO INVOLVED IN COMMUNITY HEALTH PROGRAMS AND COMMUNITY PARTNERSHIPS. IN 2011 WE PROVIDED DISASTER PREPAREDNESS CLASSES COVERING TOPICS SUCH AS NATURAL HAZARD MITIGATION PLANNING FOR MEXICO, NARROW BANDING AND RADIO EQUIPMENT, AND DECON ALLEY SET UP AND TAKE DOWN. WE ALSO PROVIDE A BUILDING TO THE COUNTY PUBLIC HEALTH DEPARTMENT. WE DO NOT CHARGE PUBLIC HEALTH FOR UTILITIES AND WE ALSO LET THE DEPARTMENT OCCUPY THE BUILDING FOR LESS THAN MARKET RENTAL RATES. WE ALSO ASSISTED A WOMEN'S SHELTER TO OBTAIN GRANTS AND PROVIDED TAXI SERVICE TO PATIENTS WHO HAD NO MEANS OF TRANSPORTATION TO RETURN HOME. IN 2011 WE PAID RECRUITMENT COSTS FOR PHYSICIAN AND OTHER HEALTH PROFESSIONALS TO IMPROVE HEALTH SERVICES TO THE COMMUNITY. | |
| FORM 990 REVIEW PROCESS | FORM 990, PART V1, SECTION A, LINE 11 | THE VICE PRESIDENT/CFO OF AUDRAIN HEALTH CENTER REVIEWS THE FORM 990 BEFORE APPROPRIATE SIGNATURES AND FILING ACTION. A DRAFT OF THE FORM 990 IS ALSO PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. |
| COMPLIANCE WITH CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND IT IS USUALLY DONE AT THE ANNUAL BOARD MEETINGS. THE CORPORATE COMPLIANCE COMMITTEE MEETS QUARTERLY IN ORDER TO MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. A HOTLINE AND COMMENT BOX IS ALSO AVAILABLE FOR HOSPITAL EMPLOYEES AND OFFICERS TO ANONYMOUSLY DISCLOSE ANY CONFLICTS TO THE COMMITTEE. THIS COVERS ANY PERSON SERVING AMC AS A BOARD MEMBER, OFFICER, OR EMPLOYEE. THE CORPORATE COMPLIANCE COMMITTEE REVIEWS ALL CONFLICTS. THE CONFLICT IS HANDLED THROUGH FULL DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH NONINVOLVEMENT IN ANY DISCUSSION AND VOTE WHEREIN THE INTEREST IS INVOLVED. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, SECTION B, LINE 15 | A. EXECUTIVE SALARY/COMPENSATION INFORMATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING MISSOURI HOSPITAL ASSOCIATION COMPENSATION REPORTS THAT PROVIDE BENCHMARKS FOR THE HOSPITAL CEO'S IN MISSOURI BY BED SIZE, OPERATING BUDGET AND NUMBER OF FTE'S. B. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR OTHER OFFICERS OF THE ORGANIZATION, ARE PRESENTED TO THE HUMAN RESOURCES DIRECTOR WHO COMPARES COMPENSATION WITH THE SAME MISSOURI HOSPITAL ASSOCIATION COMPENSATION REPORTS. |
| ADDITIONAL DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | CHANGE IN INTEREST IN FOUNDATION -153,277 CHANGE IN MINIMUM PENSION LIABILITY -5,318,472 UNREALIZED LOSS ON INVESTMENTS -116,251 ROUNDING -2 - - - - TOTAL -5,588,002 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| AUDRAIN MEDICAL CENTER FOUNDATION | ||||||||||
| 620 E MONROE | MEXICO | MO | 65265 | 431265060 | SUPPORT HOSP | MO | 501(C)(3) | 11-I | NA | false |
| AUDRAIN MEDICAL CENTER AUXILIARY | ||||||||||
| 620 E MONROE | MEXICO | MO | 65265 | 431258870 | SUPPORT HOSP | MO | 501(C)(3) | 9 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | 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 | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | 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 | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| AUDRAIN MEDICAL CENTER FOUNDATION | ||
| C | 399929 | CASH CONTRIB |
| AUDRAIN MEDICAL CENTER AUXILIARY | ||
| C | 155891 | CASH CONTRIB |
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