2012-10-31T09:54:42-07:00 2011-12-31 Ross & Workman LLC 1223 W Chavez Dr South Jordan UT 84095 990 2011-01-01 742561471 MISSION HEALTH SERVICES MISS 8017452348 2825 VIRGINIA WAY OGDEN UT 84403 GARY KELSO 2012-10-29 true STEVEN L ROSS 8012549781 2011 2016-02-24 21:20:13Z X GARY KELSO 10331 EAST HWY 39 HUNTSVILLE UT 84317 18872585 false false X WWW.MISSIONHEALTHSERVICES.ORG X 1990 UT Mission Health Services is dedicated to providing for the needs of the elderly in the state of Utah through the operation of four skilled nursing care facilities, and one intermediate nursing care facility. 5 5 583 40 0 27960 35701 16307160 15917655 8230 1723662 249327 310582 16592677 17987600 0 0 9481482 8892298 0 0 6664562 7077402 16146044 15969700 446633 2017900 11441850 12123490 13850335 12575599 -2408485 -452109 Mission Health Services (MHS) is committed to providing for the special needs of the elderly throughout Utah. MHS facilities include four skilled nursing care facilities, and one intermediate nursing care facility. Currently, mhs employs over 500 Utahans who work and care for the frail, elderly, and those with special needs. MHS has a strong commitment to build and strengthen a sense of community through support for each other and among residents, staff and volunteers. false false 14982302 15917655 MISSION HEALTH SERVICES (MHS) OPERATES FACILITIES (three SKILLED FACILITIES AND one INTERMEDIATE NURSING CARE FACILITy) IN THE STATE OF UTAH FOR long term care, rehabilitation services, and the care for those individuals with disabilities. BESIDES THE DONATED SERVICES LISTED IN THE RETURN, MHS ALSO DONATED COMMUNITY EDUCATION AND RELATED SERVICES AT AN APPROXIMATE VALUE OF $76,392. SIMILARLY, MHS PROVIDED UNPAID CARE TO INDIGENTS, waived UNREIMBURSED MEDICAid COSTS AND OTHER GIFTS TO THE COMMUNITY VALUED AT APPROXIMATELY $1,160,320, WHICH IS NEITHER REPORTED ON PAGE 1 NOR DISCLOSED ELSEWHERE IN THE RETURN. 14982302 true false false false false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false false false false false false true false false false true false false false false false true 37 0 true 583 true false false false false false false false false false false false 0 false false false false false false false false false false false X 5 5 true false false false false false false true true false false false true true true true true true true true false false X Gary Kelso 8017452348 10331 E HWY 39 HUNTSVILLE UT 84317 LISA ARBOGAST 1.00 X 3000 0 0 DAVID GESSEL 1.00 X 3000 0 0 DIRK ANJEWIERDEN 1.00 X 3000 0 0 BRENT WEIL 1.00 X 3000 0 0 WARREN WALKER 40.00 X 115000 0 10920 GARY KELSO 40.00 X 362064 0 22008 489064 32928 2 false true false SUPERIOR CARE PHARMACY PO BOX 631285 CINCINNATI OH 45263 PHARMACY 111259 INFINITY REHABILITATION M/S 24 PO BOX 5700 PORTLAND OR 97228 THERAPY SVCS 902649 HEALTHCARE SERVICES GROUP 3220 TILLMAN DR STE 300 BENSALEM PA 19020 HOUSEKEEPING/LAUNDRY 118929 CARE FIRST PHARMACY 5492 S ADAMS AVENUE WASHINGTON TERRACE UT 84405 PHARMACY 175783 AHMS 121 SE SHURFINE DR STE 9 ANKENY IA 50021 ACCTG & ADMIN SRVCS 280706 5 35701 31179 35701 UNCOMPENSATED CARE EXPNSE 623000 -1779751 -1779751 PRIVATE CARE REVENUES 623000 1686726 1686726 MEDICARE/MEDICAID PAYMENT 623000 16010680 16010680 15917655 8647 8647 0 0 0 2600000 884985 1715015 1715015 1715015 0 0 0 QUALITY INCENTIVE REVENUE 623000 198488 198488 OTHER REVENUES 623000 67672 67672 CFIRST, LLC INCOME 623000 44422 44422 310582 17987600 16228237 1723662 0 0 0 0 521992 521992 0 6560469 6560469 0 1186199 1186199 623638 603543 20095 0 60319 20652 39667 286588 286588 0 0 0 21392 21392 177529 78876 98653 210361 144204 66157 78011 49451 28560 0 766786 747256 19530 129939 11322 118617 0 27250 27250 668660 668660 0 658010 631157 26853 68321 59066 9255 PHYS., SPEECH, OCC. THERAPY 1290299 1290299 NURSING EXPENSES 739620 739620 MISCELLANEOUS EXPENSE 264124 253355 10769 DIETARY EXPENSES 484110 484110 BED TAXES 842751 842751 303332 303332 15969700 14982302 987398 0 3149120 4551903 0 0 1061988 1102437 0 0 0 0 121069 102154 12241549 7425238 5846080 4816311 0 0 0 0 1263593 1550685 11441850 12123490 1142420 832076 12707915 11743523 13850335 12575599 X -2408485 -452109 -2408485 -452109 11441850 12123490 X 2017900 -61524 X false true true X false false X 15367347 16507987 16603652 16335120 15917655 80731761 0 0 0 0 15367347 16507987 16603652 16335120 15917655 80731761 0 0 80731761 50100 14706 2507 8230 8647 84190 0 50100 14706 2507 8230 8647 84190 0 95627 359557 606932 249327 310582 1622025 15513074 16882250 17213091 16592677 16236884 82437976 0.97930 0.98110 0.00100 0.00140 X 1325252 1325252 8340360 8340360 2575937 2575937 7425238 -7425238 4816311 RESTRICTED CASH 934995 OTHER RECEIVABLE 150000 ORGANIZATIONAL COSTS 465690 1550685 17987600 15969700 2017900 -61524 -61524 1956376 17926076 17926076 61524 61524 17987600 15969700 15969700 15969700 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S DONATIONS RECEIVED NOT ON BOOKS $35701 PARTNERSHIP INCOME NOT RECORDED ON BOOKS $25823 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances DONATIONS RECEIVED NOT ON BOOKS $ -35701 PARTNERSHIP INCOME NOT RECORDED ON BOOKS $ -25823 X true true X X X X X X false false false false false false false false false false GARY KELSO 241989 100000 20075 22008 384072 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. A MEMBERSHIP IS MAINTAINED TO THE WOLF CREEK COUNTRY CLUB FOR GARY KELSO. THE SOLE PURPOSE OF THE MEMBERSHIP IS FOR THE PROVISION OF MEALS FOR BUSINESS MEETINGS. THE MEMBERSHIP IS USED 100% FOR BUSINESS OF MISSION HEALTH SERVICES. MR. KELSO DOES NOT USE THE MEMBERSHIP PERSONALLY. HE IS ALSO REQUIRED TO PROVIDE TO MISSION HEALTH SERVICES A MONTHLY STATEMENT FROM THE COUNTRY CLUB WITH DOCUMENTATION FOR THE BUSINESS MEAL EXPENSES INCURRED. SHERRY WALKER WIFE OF REG VP 45320 COMPENSATION FOR SRVCS false false false false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees SALARY COMPENSATION SURVEYS ARE REVIEWED BY THE EXECUTIVE COMMITTEE EACH YEAR PRIOR TO APPROVAL. COMPENSATION FOR ADMINISTRATORS IS DETERMINED BY MARKET CONDITIONS. THE PRESIDENT HAS A SALARY CONTRACT, WHICH IS REVIEWED ANNUALLY TO MAKE SURE COMPENSATION IS IN LINE WITH INDUSTRY STANDARDS BASED ON SALARY INFORMATION AVAILABLE IN NATIONAL COMPENSATION REPORTS FOR TAX-EXEMPT ORGANIZATIONS. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE COVERED UNDER THE POLICY ON CONFLICTS OF INTEREST AND DISCLOSURE OF CERTAIN INTERESTS. THEY ARE REQUIRED EACH YEAR TO COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THEY MAY BE INVOLVED THAT MIGHT CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. THE ORGANIZATION REGULARLY MONITORS AND ASSURES COMPLIANCE. ANY PERSONS WITH A CONFLICT ARE PROHIBITED FROM MAKING ANY DECISIONS RELATED TO THE CONFLICT. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE FORM 990 IS DISTRIBUTED TO EACH BOARD MEMBER PRIOR TO RELEASE. THE BOARD MEMBERS REVIEW THE FORM. THE FORM IS EITHER DISCUSSED AT THE NEXT BOARD MEETING, IF BEFORE THE FILING DATE, OR THE BOARD MEMBERS SEND THEIR QUESTIONS AND COMMENTS TO THE PRESIDENT. AFTER THE FORM 990 IS FINALIZED, THE BOARD MEMBERS RECEIVE A COPY OF THE FINALIZED RETURN. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et BRENT WEIL, A BOARD MEMBER OF MISSION HEALTH SERVICES, IS THE SON-IN-LAW OF GARY KELSO, THE PRINCIPAL OFFICER. MISSION WEST JORDAN CARE CENTER LLC 10331 E HWY 39 HUNTSVILLE UT 84317 263762114 OWNERSHIP OF BUILDING/LAND OF CARE CENTER UT 1854 957873 MISSION HEALTH SERVICES MISSION HILLSIDE REHABILITATION CTR LLC 10331 E HWY 39 HUNTSVILLE UT 84317 263762255 OWNERSHIP OF BUILDING/LAND OF CARE CENTER UT 2463 1371137 MISSION HEALTH SERVICES MISSION ALPINE VALLEY CARE CENTER LLC 10331 E HWY 39 HUNTSVILLE UT 84317 263762165 OWNERSHIP OF BUILDING/LAND OF CARE CENTER UT 1307 543044 MISSION HEALTH SERVICES MISSION HEALTH LEASING LLC 10331 E HWY 39 HUNTSVILLE UT 84317 270634589 SUBLEASE OF CARE CENTERS TO MISSION HEALTH SERVICES UT 435 MISSION HEALTH SERVICES false false false false false false false false false false false false false false false false false false