2011-03-14T16:50:39-05:00 2010-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-05-01 440655986 JOHN FITZGIBBON MEMORIAL HOSPITAL JOHN 6608867431 2305 S 65 HIGHWAY PO BOX 250 MARSHALL MO 65340 RONALD A OTT 2011-03-04 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z RONALD A OTT 2305 S 65 HIGHWAY MARSHALL MO 65340 61454465 false X www.fitzgibbon.org X 1923 MO TO IMPROVE THE HEALTH OF OUR COMMUNITY BY OFFERING QUALITY HEALTH CARE SERVICES, IMPROVING ACCESS & OUTCOMES, EMPOWERING THE COMMUNITY & PEOPLE WE SERVE, & PARTICIPATING IN HEALTH CARE PARTNERSHIPS. 11 9 550 40 0 0 486423 98434 42511225 48021297 524464 233923 -6035 6229 43516077 48359883 12000 71779 0 0 20126359 21432094 0 0 0 22237604 24172702 42375963 45676575 1140114 2683308 49769073 51857906 23152807 22543087 26616266 29314819 TO IMPROVE THE HEALTH OF OUR COMMUNITY BY OFFERING QUALITY HEALTH CARE SERVICES, IMPROVING ACCESS & OUTCOMES, EMPOWERING THE COMMUNITY & PEOPLE WE SERVE, & PARTICIPATING IN HEALTH CARE PARTNERSHIPS. true false 35135429 41499961 HOSPITAL SERVICE - FITZGIBBON HOSPITAL IS A 60 BED ACUTE CARE FACILITY SERVING MARSHALL, MO & THE SURROUNDING COMMUNITIES. THE FACILITY PROVIDES STATE OF THE ART HEALTH CARE WITH A 24 HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT, AN INTENSIVE CARE UNIT, IN AND OUT-PATIENT MEDICAL/SURGICAL SERVICES, AN OBSTETRICS UNIT, A BEHAVIOR HEALTH UNIT AND A 24 HOUR HOSPITALIST PROGRAM TO SERVE IN-PATIENT NEEDS AT ALL TIMES. ANCILLARY SERVICES SUCH AS RADIOLOGY, LABORATORY, RESPIRATORY THERAPY & REHABILITATIVE SERVICES ARE AVAILABLE ON SITE. FOR MORE INFORMATION, SEE SCHEDULE O. 3535040 3992815 CLINIC SERVICE - SPECIALTY CLINICS WITHIN THE HOSPITAL PROVIDE ORTHOPEDIC, WOUND CARE, NEUROLOGIC & PAIN MGMT SERVICES TO BOTH IN & OUT-PATIENTS. THESE CLINICS PROVIDED SERVICES TO 4,678 PATIENTS. THE HOSPITAL ALSO SUPPORTS A SEPARATE OUT-PATIENT CLINIC ON CAMPUS FOR FAMILY MEDICINE, OB/GYN, GENERAL SURGERY, & PSYCHIATRY STAFFED BY MEDICAL PROFESSIONALS PRACTICING IN THESE SPECIALTIES. FOR FISCAL YEAR 2010, THIS CLINIC PROVIDED SERVICES FOR 16,432 PATIENT VISITS. A SATELLITE FAMILY PRACTICE CLINIC LOCATED IN AN ADJACENT COUNTY IS ALSO SUPPORTED BY THE HOSPITAL. THIS CLINIC PROVIDED SERVICES FOR 8,459 PATIENT VISITS. 816718 12000 1491321 COMMUNITY HLTH SRVCS - HOSPICE, HOME HLTH, & HOMEMAKER SRVCS. HOSPICE PROVIDED 2,796 PALLIATIVE CARE VISITS, 83 WERE FREE FOR PATIENTS W/O INSURANCE. THEY ALSO SPONSORED 1 COMMUNITY GRIEF SUPPORT GROUP & A HOSPICE WEBINAR AT NO COST TO PARTICIPANTS. HOME HLTH PROVIDED 4,430 VISITS & HOMEMAKER PERFORMED 16,078 HRS OF SRVC TO RESIDENTS. THE COMMUNITY SRVCS GROUP ALSO COORDINATES PARTICIPATION IN THE OATS TRANSPORTATION PROGRAM BY PERFORMING THE SCHEDULING FOR ALL RIDERS. THE HOSPITAL DONATES $12,000 ANNUALLY TO OATS TO HELP SUSTAIN IT IN THE MARSHALL COMMUNITY. THE PROGRAM PROVIDED TRANSPORTATION FOR 4,349 RIDERS DURING FY 10. 325462 59779 1037200 39812649 true true false true false false false false true true false true false false false false false false true false true true false true true false false false false false false false false true false true false false false false true true false false true 89 0 true 550 true false false false false false true true false false false 11 9 false false false false false true false true true false true true true true true true true true false false false X SHERRY BARLOW 6608313722 2305 S 65 HIGHWAY PO BOX 250 MARSHALL MO 65340 FRED UTLAUT 1.0 X X 0 0 0 WILLIAM L SUMMERS 1.0 X X 0 0 0 MARIE BENHAM 1.0 X X 0 0 0 KATHY BORGMAN 1.0 X 0 0 0 ROOK EVANS 1.0 X 0 0 0 B F KNIPSCHILD MD 1.0 X 0 0 0 RANDY MORROW 1.0 X 0 0 0 JAMES SOWASH MD 1.0 X 0 0 0 JACK UHRIG MD 1.0 X 0 0 0 DON VOGELSMEIER 1.0 X 0 0 0 CRAIG MCCOY DO 1.0 X 23600 0 0 FRED HARTLEY 1.0 X 0 0 0 RONALD OTT 40.0 X 182889 0 13218 NANCY HARRIS 40.0 X 85468 0 7798 KELLY ROSS DO 40.0 X 450941 0 0 JOHN BRIZENDINE MD 40.0 X 336214 0 17337 WILLIAM SMITH MD 40.0 X 326728 0 12495 DEVINDER GUPTA MD 40.0 X 293024 0 19755 LORENZO ROMNEY DO 40.0 X 272940 0 19755 1971804 0 90358 18 false true false PHARMACY SYSTEMS INC PHAR MGT & PRCURMNT 636805 CARDINAL HEALTH PHARMACY MGT 237527 THOMAS LAIRD MD ER PHYSICIAN 228366 ROYAL OAKS HOSPITAL PSYCHIATRIC SRVCS 159187 BKD LLP AUDIT & CONSULTING 158117 8 36702 8282 53450 51969 98434 PATIENT SERVICE 900099 47675394 47675394 CAFETERIA 722210 215189 215189 OTHER 900099 46040 46040 AUXILIARY 453220 24674 24674 MANAGEMENT FEES 561000 60000 60000 48021297 234517 234517 0 0 13056423 3497 13056423 4091 -594 -594 -594 40297 36702 34068 6229 6229 0 0 0 48359883 48021297 240152 71779 71779 0 0 0 312973 23600 289373 171803 171803 17272547 14893499 2379048 350379 301432 48947 2149942 1864952 284990 1174450 1010383 164067 0 1600 1600 109600 109600 0 0 4872 4872 3688038 2782876 905162 110153 48033 62120 2012515 1695595 316920 0 0 835107 718270 116837 212345 185648 26697 0 50684 20533 30151 1084849 908447 176402 0 2806613 2350243 456370 709383 549832 159551 BAD DEBT 5340708 5340708 MEDICAID 2047454 2047454 DUES & SUBSCRIPTIONS 186873 84926 101947 RECRUITING & RETENTION 278035 48763 229272 MEDICAL SUPPLIES 4504218 4504218 189655 189655 45676575 39812649 5863926 0 2117498 5711384 13192805 10388101 579024 139811 5635553 5664301 17700 0 1084494 1117088 1309052 1011528 46883104 23374523 22168522 23508581 3569520 4206608 94905 110504 49769073 51857906 4316917 3275103 17746064 17352660 983600 613510 106226 1301814 23152807 22543087 X 22576374 28395400 3584675 464202 455217 455217 26616266 29314819 49769073 51857906 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8418 8418 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ALLOCATED TO LOBBYING. 618998 25296 36603 3670 677227 579322 39676 618998 1.00000 false false 71000 71000 20515265 5256239 15259026 2506181 1359755 1146426 22809075 16187558 6621517 981583 570971 410612 23508581 0 DUE TO RELATED PARTY 296610 EST AMT DUE TO 3RD PARTY 1005204 1301814 48359883 45676575 2683308 15245 15245 2698553 48359883 48359883 48359883 45676575 45676575 45676575 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE ORGANIZATION HAS ENDOWMENT FUNDS FROM THE L.P. ADAMS FUND. PER THE AGREEMENT, THE INCOME FROM THE FUND IS USED FOR GENERAL PURPOSES OF THE HOSPITAL. THE ORGANIZATION ALSO HAS FUNDS FROM THE BUCKNER ENDOWMENT. THESE FUNDS ARE RESTRICTED TO INVESTMENTS IN EQUIPMENT FOR THE BUCKNER WELLNESS CENTER. FINALLY, THE ORGANIZATION HAS FUNDS FROM THE NURSING ENDOWMENT SCHOLARSHIP FUND. THIS FUND WAS CREATED TO PROVIDE NURSING SCHOLARSHIPS TO SALINE COUNTY RESIDENTS ATTENDING THE NURSING PROGRAM AT THE MO VALLEY COLLEGE IN MARSHALL, MISSOURI. IN THE EVENT THAT THE MO VALLEY COLLEGE DOES NOT HAVE A NURSING PROGRAM, SCHOLARSHIPS CAN BE USED FOR NURSING PROGRAMS IN SURROUNDING AREAS. FIN 48 DISCLOSURE SCHEDULE D, PART X, LINE 2 THE ORGANIZATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. BECAUSE NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED, A DISCLOSURE WAS NOT INCLUDED IN THE FOOTNOTES TO THE FINANCIAL STATEMENTS. SPRING FLING 38621 19886 18735 920 6778 450 4063 GOLF TOURNAMENT 22852 8720 14132 3545 3018 1260 1609 2238 1 15526 8096 7430 10187 76999 36702 40297 3545 3018 2180 8387 450 16488 34068 6229 true true true X true X true true true false true true 162702 162702 0.00360 7384281 7879820 7546983 7879820 162702 0.00360 3 5814 22937 22937 0.00050 263148 263148 0.00580 1023344 1023344 0.02240 2 71779 71779 0.00160 5 5814 1381208 1381208 0.03030 5 5814 8928191 7879820 1543910 0.03390 true 2075933 871892 11555362 12215909 -660547 X true true GRAND RIVER MEDICAL CLINIC

815 EAST BROADWAY BRUNSWICK MO 65236

OFFSITE MEDICAL CLINIC JOHN FITZGIBBON MEMORIAL HOSPITAL

2305 S 65 HIGHWAY MARSHALL MO 65340

X X X ORTHO, OB/GYN, WOUND CARE, SURGERY CLINICS, HOSPICE THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE ORGANIZATION CALCULATED BAD DEBT AT COST BY TAKING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TIMES THE RATIO OF PATIENT CARE COST TO CHARGES USED FOR SCHEDULE H, PART I CALCULATIONS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE ORGANIZATION'S BILLING AND PAYMENT POLICY NOTES: IF ACCOUNTS HAVE ALREADY BEEN CONSIDERED "BAD DEBT" BY FITZGIBBON HOSPITAL AND CLINICS THEN FINANCIAL ASSISTANCE/CHARITY CARE IS NOT AN OPTION. "BAD DEBT" IS DEFINED AS EXPENSES RESULTING FROM TREATMENT FOR SERVICES PROVIDED TO A PATIENT WHO HAS NOT MEET THEIR FINANCIAL OBLIGATION NOR SET UP AN AGREEABLE PAYMENT ARRANGEMENT WITH FITZGIBBON HOSPITAL AND CLINICS WITHIN 120 DAYS FROM THE DATE THE PATIENT HAS BEEN MADE RESPONSIBLE FOR ANY BALANCES DUE EITHER AFTER INSURANCE HAS PAID THEIR PORTION OR WHEN NO INSURANCE IS INVOLVED. OUR MISSION AT FITZGIBBON HOSPITAL IS TO "IMPROVE THE HEALTH OF OUR COMMUNITY". IN ORDER TO MEET THIS MISSION WE STRIVE TO UNDERSTAND THE NEEDS OF OUR COMMUNITY IN SEVERAL DIFFERENT WAYS. OUR LEADERSHIP AND STAFF ARE MEMBERS OF CIVIC CLUBS, BOARDS, AND COMMITTEES. OUR BOARD OF DIRECTORS IS COMPRISED OF MEMBERS FROM COUNTIES THROUGHOUT OUR SERVICE AREA. WE WORK CLOSELY WITH THE HEALTH DEPARTMENT AND OTHER COMMUNITY AGENCIES. STATE, REGIONAL AND LOCAL MEDIAS ARE USED TO MONITOR NEEDS AT ALL LEVELS. WE ALSO BELONG TO MANY HEALTHCARE RELATED ORGANIZATIONS THAT PROVIDE INFORMATION REGARDING USAGE AND NEEDS OF HEALTHCARE IN OUR SERVICE AREA WHICH IS USED TO EVALUATE WHAT WE NEED TO FOCUS ON TO IMPROVE THE HEALTH IN OUR COMMUNITY. THE HOSPITAL USES SEVERAL AVENUES TO PROVIDE PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. THE PATIENT ACCOUNTS DEPARTMENT DEVELOPED A BROCHURE WHICH IS AVAILABLE TO PATIENTS AT THE TIME OF REGISTRATION. THE BROCHURE OUTLINES WHAT THE PATIENT IS TO EXPECT IN THE BILLING PROCESS, HOW TO CONTACT THE DEPARTMENT, AND WHAT ASSISTANCE IS AVAILABLE. WE HAVE A DETAILED POLICY WHICH OUTLINES PATIENT RESPONSIBILITY AND QUALIFICATIONS FOR CHARITY CARE. OUR PATIENT ACCOUNTS REPRESENTATIVES MEET WITH SELF PAY PATIENTS WHEN THEY ARE IN THE FACILITY TO DISCUSS OUR POLICY. OUR CARE COORDINATORS AND SOCIAL WORKERS ALSO EDUCATE OUR PATIENTS ON ASSISTANCE THEY MAY BE ELIGIBLE FOR UNDER FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS. WE ALSO UTILIZE AN OUTSIDE AGENCY TO MAKE CONTACT WITH PATIENTS AND IDENTIFY THOSE THAT MIGHT BE ELIGIBLE FOR ASSISTANCE. FITZGIBBON HOSPITAL'S PRIMARY SERVICE AREA IS SALINE COUNTY, MISSOURI WHICH IS A MID-MISSOURI AGRICULTURAL REGION AND INCLUDES THE TOWNS OF MARSHALL AND SLATER, MO. THE SECONDARY SERVICE AREA IS PORTIONS OF THE CONTIGUOUS COUNTIES SURROUNDING SALINE COUNTY. THE SALINE COUNTY POPULATION IN 2009 WAS 22,586 RESIDENTS. SALINE COUNTY DATA FOR 2009 SHOWED 61.3% OF HOUSEHOLDS WITH INCOME UNDER $49,999. OF THIS NUMBER, 42.3% OF HOUSEHOLDS FELL INTO THE $34,999 AND BELOW BRACKET. THE AGE DISTRIBUTION OF THE POPULATION IN SALINE COUNTY IN 2009 WAS 72.8% AGE 54 AND UNDER AND 27.2% WERE 55 AND OLDER. MO true OATS INC 2501 MCGUIRE BLVD COLUMBIA MO 65201 431016961 501(C)(3) 12000 COMMUNITY SERVICES ST LOUIS REGIONAL DSH FUNDING AUTHORITY PO BOX 6766 JEFFERSON CITY MO 651026766 061642698 501(C)(3) 59779 SUPPORT 2 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE HOSPITAL WORKS IN CONJUCTION WITH THE LOCAL OATS TRANSPORTATION PROGRAM TO COORDINATE TRANSPORTATION FOR MEMBERS OF THE COMMUNITY. THE ORGANIZATION WITNESSES FIRSTHAND THE WORK DONE BY OATS IN THE COMMUNITY. THROUGH AMENDMENT 3 OF THE ORGANIZATION'S AGREEMENT WITH MHA MANAGEMENT SERVICES CORPORATION AND INCREASED DISPROPORTIONATE SHARE HOSPITAL PAYMENTS TO ALL MISSOURI HOSPITALS UNDER THE FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM, THE HOSPITAL MADE CHARITABLE CONTRIBUTIONS TO THE DSH FUNDING AUTHORITY. THESE CONTRIBUTIONS ARE USED TO SUSTAIN THE VARIOUS CHARITY CARE CLINICS IN THE ST. LOUIS AREA, WITH LOCAL COMMUNITY HOSPITALS ABSORBING THE INPATIENT AND OUTPATIENT NEEDS OF THE COMMUNITY'S MEDICALLY INDIGENT POPULATION. X X false false false false false true false true false RONALD OTT 182889 0 0 0 0 0 0 0 13218 0 196107 0 KELLY ROSS DO 434990 0 0 0 15951 0 0 0 0 0 450941 0 JOHN BRIZENDINE MD 325000 0 0 0 11214 0 0 0 17337 0 353551 0 WILLIAM SMITH MD 259542 0 17186 0 50000 0 0 0 12495 0 339223 0 DEVINDER GUPTA MD 257024 0 30000 0 6000 0 0 0 19755 0 312779 0 LORENZO ROMNEY DO 227791 0 30000 0 15149 0 0 0 19755 0 292695 0 PAYMENT CONTINGENT ON NET EARNINGS SCHEDULE J, PART I, LINE 6 DR. SMITH'S BONUS WAS DETERMINED BASED ON THE PERFORMANCE OF THE DEPARTMENT IN WHICH HE SERVES. NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 ACCORDING TO THEIR RESPECTIVE CONTRACTS, DR. GUPTA AND DR. ROMNEY ARE DUE AN ANNUAL INCENTIVE COMPENSATION NOT TO EXCEED 15% OF THEIR RESPECTIVE BASE SALARIES. THIS INCENTIVE IS BASED ON DEVELOPMENT OF PROTOCOLS; UTILIZATION OF STANDING ORDERS WHICH INCLUDE APPROPRIATE CARE MEASURES AS DEFINED BY CMS; COOPERATION WITH CARE COORDINATION AND UTILIZATION MANAGEMENT; COMPLETION OF ACCURATE AND TIMELY DOCUMENTATION; PATIENT SATISFACTION SCORES; AND ATTENDING CE PROVIDED BY HOSPITAL. IT IS NOT BASED ON HOSPITAL EARNINGS. INDUSTRIAL DEVELOPMENT AUTHORITY-CO OF SALINE MO 431386697 79516LAD6 2005-12-22 10000000 CONSTRUCTION REVENUE BONDS false false 10365462 0 0 0 193724 0 9806276 2007 false false true true false false false false false 0.00000 0.00000 0.00000 true false true false false false false LYNNE OTT SPOUSE OF RONALD OTT 123979 EMPLOYEE COMPENSATION false JUDY VOGELSMEIER SPOUSE OF DON VOGELSMEIER 47824 EMPLOYEE COMPENSATION false X 2 51969 FMV 0 false true false NUMBER OF CONTRIBUTORS SCHEDULE M, PART I, LINE 9 THE NUMBER OF CONTRIBUTIONS IS REPRESENTED BY THE NUMBER OF CONTRIBUTORS. SIGNIFICANT PROGRAM SERVICES FORM 990, PART III, LINE 2 THE COMMUNITY CANCER CENTER OPENED AT FITZGIBBON HOSPITAL IN OCTOBER 2009 AFTER A THREE YEAR CAPITAL CAMPAIGN DURING WHICH THE COMMUNITIES SERVED BY FITZGIBBON RAISED $4 MILLION TO BUILD A CANCER TREATMENT CENTER IN SALINE COUNTY TO PROVIDE CARING, COMPASSIONATE CANCER TREATMENT CLOSE TO HOME. FROM THE DATE OF THE OPENING THROUGH APRIL 30, 2010, THE CANCER CENTER PROVIDED 1,138 CHEMOTHERAPY AND 1,212 RADIATION THERAPY TREATMENTS TO PATIENTS WITHIN THE COMMUNITY. PROGRAM SERVICES ACTIVITY #1 FORM 990, PART III, LINE 4A FOR THE FISCAL YEAR ENDED APRIL 30, 2010, THE EMERGENCY ROOM EXPERIENCED 11,936 PATIENT VISITS. THE SURGICAL TEAM PERFORMED 594 IN-PATIENT AND 2,099 OUT-PATIENT PROCEDURES. THE RADIOLOGY GROUP PERFORMED 37,545 PROCEDURES WHICH INCLUDED 5,427 CT SCANS, 1,843 MRI'S, 4,474 ULTRASOUND IMAGES AND 3,950 NUCLEAR MEDICINE SCANS. THE LABORATORY TEAM PERFORMED 100,619 TESTS. THE RESPIRATORY THERAPY DEPARTMENT CONDUCTED 20,607 PATIENT TREATMENTS AND THE REHABILITATIVE SERVICES GROUP WHICH INCLUDES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES PROVIDED 20,715 PATIENT ENCOUNTERS. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D A CARDIO-PULMONARY WELLNESS CENTER IS LOCATED ON THE CAMPUS AND STAFFED BY A REGISTERED DIETICIAN AND A REGISTERED NURSE TO COUNSEL AND EDUCATE PATIENTS ON HEALTHY LIVING THROUGH EXERCISE AND NUTRITION WITH SPECIAL EMPHASIS ON DIABETES MANAGEMENT. THROUGHOUT THE YEAR, THE STAFF ENCOUNTERED 4,276 PATIENT VISITS AT THE FACILITY. IN ADDITION, THE STAFF EDUCATED 1,117 RESIDENTS IN THE SURROUNDING COMMUNITIES AT NO CHARGE THROUGH PARTICIPATION IN HEALTH FAIRS AND OTHER SOCIAL VENUES. FITZGIBBON ALSO SPONSORS A FREE BICYCLE SAFETY CLINIC FOR CHILDREN. IN FY 2010, 458 KINDERGARTEN STUDENTS ATTENDED, AND EACH CHILD RECEIVED A FREE HELMET AT THE END OF THE PROGRAM. THE HOSPITAL OFFERS CHILDBIRTH CLASSES AT A MINIMAL FEE WHICH COVERS THE COST OF THE EDUCATIONAL MATERIAL PRESENTED TO EACH PARTICIPANT. EACH YEAR, THE HOSPITAL HOSTS A COMMUNITY HEALTH FAIR OFFERING EDUCATION ON A VARIETY OF HEALTH ISSUES AND ROUTINE HEALTH SCREENINGS. MOST TESTING IS FREE, HOWEVER, PARTICIPANTS REQUESTING CERTAIN BLOOD TESTS PAY ONLY WHAT IT COSTS THE HOSPITAL FOR LABORATORY PROCESSING. FITZGIBBON IS A WILLING PARTICIPANT IN A COMMUNITY WIDE COMMITTEE TO HELP IMPROVE ACCESS TO HEALTH CARE IN THE AREA. HOSPITAL PERSONNEL ARE ENCOURAGED AND PROVIDED OPPORTUNITIES TO SERVE THE COMMUNITY THROUGH INVOLVEMENT IN VARIOUS COMMUNITY ORGANIZATIONS AS VOLUNTEER MEMBERS, OFFICERS, AND SPEAKERS ON HEALTH RELATED TOPICS. THE FACILITY PROVIDES STATE OF THE ART HEALTH CARE WITH A 24 HOUR PHYSICIAN-STAFFED EMERGENCY DEPARTMENT, AN INTENSIVE CARE UNIT, IN AND OUT-PATIENT MEDICAL/SURGICAL SERVICES, AN OBSTETRICS UNIT, A BEHAVIOR HEALTH UNIT AND A 24 HOUR HOSPITALIST PROGRAM TO SERVE IN-PATIENT NEEDS AT ALL TIMES. ANCILLARY SERVICES SUCH AS RADIOLOGY, LABORATORY, RESPIRATORY THERAPY & REHABILITATIVE SERVICES ARE AVAILABLE ON SITE. MEMBERS, STOCKHOLDERS, OR OTHER PERSONS FORM 990, PART VI, SECTION A, LINE 7A THE MEDICAL STAFF OF THE ORGANIZATION ELECTS THE CHIEF OF MEDICAL STAFF WHO IS A VOTING MEMBER OF THE BOARD. REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11A A DRAFT OF THE RETURN IS REVIEWED BY THE CFO AND THE CEO BEFORE BEING FINALIZED. THE 990 IS THEN PRESENTED TO THE BOARD BEFORE IT IS FILED. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE OFFICER MONITORS THE CONFLICT OF INTEREST POLICY AND ANNUALLY REQUIRES OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO SIGN A CONFLICT OF INTEREST DISCLOSURE FORM. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST WOULD ABSTAIN FROM VOTING ON ANY DECISION RELATED TO THAT CONFLICT OF INTEREST. COMPENSATION DETERMINATION FORM 990, PART VI, SECTION B, LINE 15A & 15B THE ORGANIZATION USES INDUSTRY DATA IN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS/KEY EMPLOYEES. FITZGIBBON HOSPITAL HAS AN AGREEMENT WITH BOONE HOSPITAL CENTER WHICH ALLOWS BOONE HOSPITAL TO OVERSEE AND ASSIST IN EVALUATING THE WORK AND PERFORMANCE OF THE PRESIDENT OF THE HOSPITAL AND IN DETERMINING THE COMPENSATION AND BENEFITS TO WHICH THE PRESIDENT WILL BE ENTITLED, THEREFORE, THE COMPENSATION WAS DETERMINED BY BOONE HOSPITAL IN CONSULTATION WITH THE FITZGIBBON HOSPITAL BOARD PRESIDENT. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE VIEWED IN THE ADMINISTRATION DEPARTMENT UPON WRITTEN REQUEST. TAX-EXEMPT BONDS FORM 990, PART X, LINE 20 JOHN FITZGIBBON MEMORIAL HOSPITAL RECEIVED $10,000,000 IN QUALIFIED HOSPITAL BOND PROCEEDS FROM A 2005 BOND ISSUE. A PORTION OF THE BOND PROCEEDS WAS ALLOCATED TO RELATED ENTITY FITZGIBBON HEALTH SERVICES FOR BOOK AND AUDIT PURPOSES. INFORMATION ABOUT THE BOND WILL BE REPORTED ON JOHN FITZGIBBON MEMORIAL HOSPITAL'S SCHEDULE K. FITZGIBBON HEALTH SERVICES 2305 S 65 HWY PO BOX 250 MARSHALL MO 65340 431731173 NURSING HOME MO 501(C)(3) 9 NA false false false false false false false false false false true false true false true true false false FITZGIBBON HEALTH SERVICES O 130391 FITZGIBBON HEALTH SERVICES P 474185 FITZGIBBON HEALTH SERVICES K 60000