2011-10-18T14:04:30-07:00 2010-12-31 Ross & Workman LLC 1223 W Chavez Dr So Jordan UT 84095 990 2010-01-01 742561471 MISSION HEALTH SERVICES MISS 8017452348 10331 E HWY 39 HUNTSVILLE UT 84317 GARY KELSO 2011-10-18 STEVEN L ROSS 8012549781 2010 2016-03-07 17:11:31Z GARY KELSO 10331 EAST HWY 39 HUNTSVILLE UT 84317 16592677 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 4 595 35 0 52085 27960 16551567 16307160 2507 8230 606932 249327 17213091 16592677 0 0 9531077 9481482 0 20936 7591334 6664562 17122411 16146044 90680 446633 11058172 11441850 13900234 13850335 -2842062 -2408485 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 15502248 16307160 MISSION HEALTH SERVICES (MHS) OPERATES FACILITIES (four 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 $168,216. SIMILARLY, MHS PROVIDED UNPAID CARE TO INDIGENTS, waived UNREIMBURSED MEDICAid COSTS AND OTHER GIFTS TO THE COMMUNITY VALUED AT APPROXIMATELY $1,203,233, WHICH IS NEITHER REPORTED ON PAGE 1 NOR DISCLOSED ELSEWHERE IN THE RETURN. 15502248 true true 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 false false false false true false false false false false true 32 0 true 595 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 4 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 WARREN WALKER 40.00 X 104251 0 9120 LISA ARBOGAST 1.00 X 2000 0 0 GARY KELSO 40.00 X 314100 0 9120 DIRK ANJEWIERDEN 1.00 X 2500 0 0 DAVID GESSEL 1.00 X 2500 0 0 BRENT WEIL 1.00 X 2500 0 0 427851 18240 2 false true false MOUNTAINLAND REHAB PO BOX 711185 SALT LAKE CITY UT 84171 THERAPY SERVICES 424552 HEALTHCARE SERVICES GROUP 3220 TILLMAN DR STE 300 BENSALEM PA 19020 HOUSEKEEPING/LAUNDRY 129923 CL CHRISTIANSEN BROTHERS 1201 EAST 1220 NORTH OREM UT 84097 BLDG REMODELING 130874 CARE FIRST PHARMACY 5492 S ADAMS AVENUE WASHINGTON TERRACE UT 84405 PHARMACY 257903 AHMS 121 SE SHURFINE DR STE 9 ANKENY IA 50021 ACCTG & ADMIN SRVCS 268848 5 27960 20286 27960 UNCOMPENSATED CARE EXPNSE 623000 -1259054 -1259054 PRIVATE CARE REVENUES 623000 1989175 1989175 MEDICARE/MEDICAID PAYMENT 623000 15577039 15577039 16307160 8230 8230 0 0 0 0 0 0 0 QUALITY INCENTIVE REVENUE 623000 240179 240179 OTHER REVENUES 623000 2463 2463 CFIRST, LLC INCOME 623000 6685 6685 249327 16592677 16556487 8230 0 0 0 0 427851 104251 323600 0 7162260 7146860 15400 0 1275049 1275049 616322 605689 10633 0 26243 6702 19541 293810 293810 0 0 0 12742 12742 52939 52939 191406 141114 50292 70632 57844 12788 0 848548 848548 152695 22596 130099 0 36957 36957 690681 690681 0 649173 627461 21712 131404 121599 9805 PHYS., SPEECH, OCC. THERAPY 1037716 1037716 NURSING EXPENSES 580417 580417 HOUSEKEEPING & LAUNDRY 203150 203150 DIETARY EXPENSES 529173 529173 BED TAXES 817472 817472 339404 326435 7433 5536 16146044 15502248 622860 20936 2678910 3149120 0 0 1147663 1061988 0 0 0 0 191522 121069 14396164 8550084 5632785 5846080 0 0 0 0 1407292 1263593 11058172 11441850 1024332 1142420 12875902 12707915 13900234 13850335 X -2842062 -2408485 -2842062 -2408485 11058172 11441850 X 446633 -13056 X false true true X false false X 13500942 15367347 16507987 16603652 16335120 78315048 0 0 0 0 13500942 15367347 16507987 16603652 16335120 78315048 0 0 78315048 37093 50100 14706 2507 8230 112636 0 37093 50100 14706 2507 8230 112636 0 82403 95627 359557 606932 249327 1393846 13620438 15513074 16882250 17213091 16592677 79821530 0.98110 0.98260 0.00140 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1558541 1558541 9803718 9803718 3033905 3033905 8550084 -8550084 5846080 RESTRICTED CASH 778298 ORGANIZATIONAL COSTS 485295 1263593 16592677 16146044 446633 -13056 -13056 433577 16579621 7230 7230 16572391 20286 20286 16592677 16146044 16146044 16146044 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 $20286 Part XII, Line 2d Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 EXCESS PSHP INCOME RECORDED ON BOOKS $7230 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances EXCESS PSHP INCOME RECORDED ON BOOKS $7230 DONATIONS RECEIVED NOT ON BOOKS $ -20286 X true true X X X X X X false false false false false false false false false false GARY KELSO 231608 60000 22492 9120 323220 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/ADMINISTRATOR 39792 COMPENSATION FOR SRVCS 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 2773 969181 MISSION HEALTH SERVICES MISSION HILLSIDE REHABILITATION CTR LLC 10331 E HWY 39 HUNTSVILLE UT 84317 263762255 OWNERSHIP OF BUILDING/LAND OF CARE CENTER UT 2294 1376253 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 1684 513378 MISSION HEALTH SERVICES MISSION HEALTH LEASING LLC 10331 E HWY 39 HUNTSVILLE UT 84317 270634589 SUBLEASE OF CARE CENTERS TO MISSION HEALTH SERVICES UT 496 MISSION HEALTH SERVICES false false false false false false false false false false false false false false false false false false