2012-10-29T09:47:06-05:00 2011-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2011-01-01 431550298 Audrain Health Care Inc % JENNIFER OGDEN AUDR 5735825000 620 E MONROE MEXICO MO 652652963 GREG SHAW 2012-10-22 true Donna J Larson 3142315544 2011 2016-02-24 21:20:13Z AUDRAIN MEDICAL CENTER DAVID A NEUENDORF 620 E MONROE MEXICO MO 652652963 60719570 false X WWW.AUDRAINMEDICALCENTER.COM X 1918 MO 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. 15 11 604 0 0 1259552 1271149 56451449 55617531 228092 108941 572948 414868 58512041 57412489 26098 35203 0 0 29187084 27856793 0 0 0 32041230 31950698 61254412 59842694 -2742371 -2430205 33366755 31018249 20867120 26536821 12499635 4481428 X 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. false false 16489074 35203 12603546 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. 22018465 0 35750211 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. 10256253 0 7263775 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. 48763792 true true false true false false false false true true false false false true false true false false false false false false false false false true true true false true false false false false false false true false false false false false false true false false false false true 257 0 true 604 true false false false false false false false false false false X 15 11 false false false false false false false true true false false true true true true true true true true false X JENNIFER OGDEN 5735828095 620 E MONROE MEXICO MO 652652963 DAVID A NEUENDORF 41.58 X X 198660 0 2400 STERLING OLIVER 1.48 X X 0 0 0 CHARLES SCHAFER 1.22 X X 0 0 0 DONNA PEAK 0.08 X 0 0 0 SUE WAECHTER 1.61 X X 0 0 0 JOHN DIAL 0.92 X 0 0 0 RANDAL ROBLEY 1.04 X 0 0 0 MICHAEL QUINLAN MD 40.95 X 364118 0 10245 GENE THOMAS MD 40.4 X X 400127 0 0 KATHY MILLER 0.94 X 0 0 0 GENEVA ALLISON 0.99 X X 0 0 0 WILLIAM DUBBERT 0.44 X X 0 0 0 SUSAN WILBURN 1.06 X X 0 0 0 CHARLES TILLMAN 0.88 X 0 0 0 JO ELLEN CRAGHEAD 0.37 X 56376 0 3972 GREG SHAW 40.0 X 118140 0 7749 KARI WILSON 40.0 X 133729 0 0 PETER PERLL MD 40.0 X 398033 0 0 PEGGY A BARJENBRUCH MD 40.0 X 355610 0 9402 ERIC KONDRO MD 40.0 X 316624 0 2045 SHAHID WAHEED MD 40.0 X 463530 0 804 JOAN SLAUGHTER 40.0 X 257601 0 4000 3062548 0 40617 27 false true false 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 19 555820 708631 6698 1271149 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 55617531 139278 139278 0 0 124314 124314 124314 124314 3276744 3307081 -30337 -30337 -30337 0 0 0 CAFETERIA 722210 226267 226267 MEDICAL RECORDS 561000 26364 26364 MISCELLANEOUS 900099 37923 37923 290554 57412489 55617531 523809 35203 35203 0 0 0 1235167 1179886 55281 0 21002907 18390848 2612059 1859322 1375898 483424 2272773 1998811 273962 1486624 1100102 386522 0 133651 98902 34749 93751 69376 24375 0 0 0 7025806 5199096 1826710 117885 87235 30650 14674055 10858801 3815254 0 0 1794366 1327831 466535 49539 36659 12880 0 0 494957 379723 115234 0 3437589 2637259 800330 234626 173623 61003 BAD DEBTS 3587091 3587091 DUES & SUBSCRIPTIONS 190151 140712 49439 RECRUITMENT ALLOCATION 117211 86736 30475 OTHER - LESS THAN 5% OF TOTAL 20 20 0 59842694 48763792 11078902 0 4515 3505 2438445 1116435 0 0 5918704 5711562 0 0 0 0 0 0 601350 513223 662343 1508022 81986693 63993818 19602285 17992875 3319071 3525227 0 0 756331 603054 0 0 63711 44346 33366755 31018249 4506968 5930339 0 0 0 0 0 0 0 0 0 0 9006552 7172151 0 0 7353600 13434331 20867120 26536821 X 11871649 4016462 445708 282688 182278 182278 12499635 4481428 33366755 31018249 X -2430205 -5588002 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5445 false false false 5445 false ORGANIZATION'S DIRECT AND INDIRECT POLITICAL ACTIVITIES SCHEDULE C, PART I-A, LINE 1 THE ORGANIZATION IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 4026495 0 -8789 0 42838 15398 3959470 4394653 43181 -296457 500 105437 8945 4026495 4084478 244672 1808806 1724140 19164 4394652 5028947 443106 550679 500 1913138 24616 4084478 0.57805 0.00000 0.42195 true false 782780 782780 37568532 27384941 10183591 39888813 34340884 5547929 3746568 2267993 1478575 17992875 0 ESTIMATED PENSION LIABILITY 12959170 ASSET RETIREMENT OBLIGATION 475161 13434331 57412489 59842694 -2430205 -116251 -5308731 -5424982 -7855187 57285514 -116251 -116251 57401765 10724 10724 57412489 59822226 59822226 20468 20468 59842694 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. true true true X true X true true true false true true 1372529 1372529 0.02440 8190000 7455000 735000 0.01310 9562529 7455000 2107529 0.03750 57284 11278 46006 0.00080 15458 2600 12858 0.00020 17832007 9823747 8008260 0.10940 60007 60007 0.00110 17964756 9837625 8127131 0.11150 27527285 17292625 10234660 0.14900 8655 8655 0.00020 203425 203425 0.00360 101338 101338 0.00180 313418 313418 0.00560 true 1441652 0 18734504 19637289 -902785 X true true 1 1 AUDRAIN MEDICAL CENTER

620 E MONROE MEXICO MO 65265

X X X AUDRAIN MEDICAL CENTER 1 true true 100 true 200. true X X true true X X X X true false X X X true X false false 11 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 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 990 SCHEDULE H, PART VI MO, true AUDRAIN CITY-COUNTY HEALTH UNIT 605 EAST PROMENADE MEXICO MO 65265 430783311 19292 OPERATING EXPENSES 1 MONITORING PROCEDURES FOR GRANTS PAID SCHEDULE I, PART I, LINE 2 THE ORGANIZATION REVIEWS REPORTS OF OPERATING EXPENSES RECEIVED FROM THE RECIPIENT THROUGHOUT THE YEAR. X X X false false false false false false false false false 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 LISA NEUENDORF WIFE OF CEO, D. NEUENDORF 64493 EMPLOYMENT false SHELLIE SHAW WIFE OF VP-CFO, G. SHAW 51317 EMPLOYMENT false 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 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 false false true false false false false false false false false true true true false false false false AUDRAIN MEDICAL CENTER FOUNDATION C 399929 CASH CONTRIB AUDRAIN MEDICAL CENTER AUXILIARY C 155891 CASH CONTRIB