2011-08-11T14:21:10-00:00 2010-09-30 BKD LLP 211 N Broadway Ste 600 St Louis MO 631022733 990 2009-10-01 430687077 Jefferson Memorial Hospital Association JEFF 6369331136 PO Box 350 Crystal City MO 63019 James Muehlhauser 6369331103 2011-08-11 true Donna Larson CPA 3142315544 2011-08-11 2009 2016-02-24 21:20:13Z Jefferson Regional Medical Center James Muehlhauser PO Box 350 Crystal City MO 63019 134755760 false X www.jhsmo.com X 1953 MO Jefferson Regional Medical Center is a community based integrated healthcare system. The hospital consists of a 236-bed licensed facility which provides a full range of diagnostic, preventative and healthcare services along with 24 hour emergency room care. These services are provided on a non-discriminatory basis. 14 10 1630 150 301859 -265146 411884 423757 133051311 130031967 932308 1058601 1120151 1454952 135515654 132969277 158138 0 61316924 64755615 0 169925 66331944 61831588 127648868 126745341 7866786 6223936 117144396 134837141 44967677 63067052 72176719 71770089 None true false 96513785 121267381 Jefferson Regional Medical Center consists of a 236-bed licensed facility which provides a wide range of services. In fiscal year 2010 the following services were provided - 11,992 admissions, 44,948 patient days, 535 deliveries, 32,779 Emergency Room visits, 2,294 inpatient surgeries including 84 open hearts, 4,079 minor and ambulatory surgery procedures and 64,014 referred outpatient procedures. It is the policy of Jefferson Regional Medical Center to provide uncompensated care to patients in need of financial assistance in accordance with the hospitals established guidelines and without regard to race, religion, sex, age or national origin. Charity and uncompensated care for the year totaled 14,120,829. Jefferson Regional Medical Center is committed to providing educational programs to the community. Free seminars and presentations are provided on a wide variety of health issues which impact patients and their families. Free services are also offered to the community such as lipid, cholesterol, bone density and glucose screenings as well as hearing and memory screenings. Jefferson Regional Medical Center works closely with other community organizations such as the American Red Cross, the American Heart Association and the American Cancer Society. 6131955 6731576 Jefferson Regional Medical Center is further complimented by the Supportive Care Service Departments which provide home care services. The Home Health agency provided 17,045 visits and the Hospice agency provided 23,128 days of service for the fiscal year. 3817430 1919874 Jefferson Physician Network was added to the healthcare system in fiscal year 2009. The network employs physicians to further our services throughout the hospital and community. At the end of the fiscal year, there were 12 physicians which made up the network, which included physicians in family practice, endocrinology, rheumatology, hospitalists and wound care. The Physician Network is to expand with the recruiting of more physicians in the future. 106463170 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 false false false false true true true true false true 116 0 true 1630 true true true false false false false true false false false false 14 10 true false false false true true true true true false false true true true true true true true true true true X James Muehlhauser 6369331104 PO Box 350 Crystal City MO 63019 Lloyd Ford Jr 040.00 X X 499650 0 20252 James Muehlhauser 040.00 X 233209 0 19200 Beverly Johnson 040.00 X 205239 0 5595 Blake Temple 040.00 X 204844 0 5997 Jerome Ladous 040.00 X 182381 0 12522 Timothy Pigg 040.00 X 120839 0 11683 Daniel Cox 040.00 X 328707 0 9100 Eric Hale 040.00 X 173455 0 4938 Lawrence Billy 040.00 X 163558 0 5430 Frank Krewett 040.00 X 161526 0 10212 Tina Smith 040.00 X 156123 0 5783 Lindell Carter 000.50 X 0 0 0 Bill McKenna 000.50 X 0 0 0 Tonda Breeze 000.50 X 0 0 0 Ron Ravenscraft 000.50 X 0 0 0 Kenneth Kilian MD 000.50 X 10700 0 0 Martha Reed MD 000.50 X 29634 0 0 Jeff Draves MD 000.50 X 0 0 0 Dennis Gannon 000.50 X 0 0 0 Timothy Patterson 000.50 X 0 0 0 Jack King 000.50 X 0 0 0 Benjamin Albano MD 000.50 X 0 0 0 Roy Burnside 000.50 X 0 0 0 Stoke Wischmeier 000.50 X 0 0 0 2469865 110712 27 false true false RehabCare Group Inc PO Box 502096 St Louis MO 631502096 Therapists 1693267 Sodexo Inc & Affiliates 4880 Paysphere Circle Chicago IL 60674 Dietary Services 1386704 Siemens Med Solutions USA 51 Valley Stream Parkway Malvern PA 19355 Software support services 1354592 Acuity Anesthesiology LLC 1734 Clarkson Road Suite 147 Chesterfield MO 63017 Anesthesiologists 941667 Brockmiller Construction Inc PO Box 387 Farmington MO 63640 Construction 707686 45 60785 46615 316357 423757 Lab Services 621500 113136 111936 1200 Net Patient Service Revenue 621110 127754695 127754695 Net Patient Service Revenue for physician offices 621110 2164136 2164136 130031967 1056916 1056916 1324085 1362276 -38191 -38191 -38191 8609 6924 1685 1685 1685 35379 60785 35379 7637 5981 1656 1656 459167 375923 83244 2064 81180 Building Svc Management Fee 621110 248345 187859 60486 Cafe Vending 722210 753266 753266 Therapy Audio 900099 58441 58441 348191 348191 1408243 132969277 129918831 301859 2324830 158138 158138 0 0 0 1550850 216173 1334677 0 51137266 43854156 7175188 107922 1689458 1415950 273508 6627490 5531400 1068457 27633 3750551 3164202 578554 7795 495905 495455 450 219502 219502 72569 72569 0 0 11589984 8714957 2873398 1629 934851 24519 907693 2639 25312101 24388300 917853 5948 978109 36885 941224 0 2350468 2091483 258985 546794 457472 88121 1201 0 77327 64877 12450 1750484 1468656 281828 0 6607321 5541343 1065978 700345 9388 690957 Recruiting 787923 132187 655736 Minor Equipment 164223 110353 53870 Guest Meals Special Events 654277 65140 574180 14957 Bad Debts 8503539 8503539 85866 18597 67068 201 126745341 106463170 20112246 169925 19461904 18604302 16011913 18766396 15288842 16297211 10372242 16379101 2305244 2365380 2818154 5052731 151173734 102866578 42341935 48307156 5413368 5359989 3130794 3704875 117144396 134837141 15247976 18821319 27537400 37635000 2182301 6610733 44967677 63067052 X 71923967 71505065 152752 165024 100000 100000 72176719 71770089 117144396 134837141 X false true true X false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 11613 false false false 11613 false false 22878750 143208 2910001 25931959 22353994 178727 346029 22878750 0.99000 0.01000 false false 1406489 6563748 3105451 13003030 48613777 39562535 22054272 633989 38211 595778 8175682 67491892 57367764 18299810 4835127 583282 4251845 48307156 Amounts due to affiliates-JPN 5399858 Amounts due to affiliates-ICH 1066474 Amounts due to affiliates-Land Co 144400 Rounding 1 6610733 V Line 4 The endowment funds are to be used for various capital projects. X 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. Vegas Gala 64006 36733 27273 1593 10485 15195 Golf Tournament 28970 22796 6174 4780 1394 1 3188 1256 1932 1932 96164 60785 35379 6373 11879 15195 1932 35379 true true true X true X true true false true true 3198759 3198759 0.02710 20421877 16176226 4245651 0.03590 23620636 16176226 7444410 0.06300 4801 12731 12731 0.00010 36911 36911 0.00030 156969 156969 0.00130 4801 206611 206611 0.00170 4801 23827247 16176226 7651021 0.06470 35063 35063 0.00030 464860 464860 0.00370 499923 499923 0.00400 true 3069778 2261709 54834199 57139011 -2304812 X true true Jefferson Regional Medical Center

PO Box 350 Crystal City MO 63019

X Jefferson Regional Hospice

5 Industrial Dr Festus MO 63028

Hospice services Jeffrson Multi-Specialty Group

1400 Highway 61 South Crystal City MO 63019

Outpatient physician clinic Jefferson Memorial Surgical Partners LLC

PO Box 350 Crystal City MO 63019

Outpatient surgery Jefferson Regional Home Care

5 Industrial Dr Festus MO 63028

Home care services Jeffrson Memorial Hospital Rehabilitation Unit

PO Box 350 Crystal City MO 63019

Rehabilitation services Jefferson Memorial Hospital Psychiatric Unit

PO Box 350 Crystal City MO 63019

Psychiatric services Jefferson Regional Outpatient Facilities LLC

1400 Highway 61 South Crystal City MO 63019

Urgent care services The costs reported in the table in Part I, Line 7 used a ratio of patient care costs to charges computed in Worksheet 2 of the form instructions. This methodology was used for all patient segments. The organization had bad debt expense in the amount of 8,526,797 reported on Part IX, line 25, however, it has been subtracted for purposes of calculating the percentage in this column. The organization reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The organization provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the organization bills third-party payers directly and bills the patient when the patients 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 organizations shortfall on line 7 represents unreimbursed Medicare services provided to members of the community who might otherwise not be able to afford adequate health care services. Jefferson Regional Medical Center continues to offer and process financial assistance to patients who are identified as candidiates throughout the debt collection process. All collection agency letters and bills state financial assistance is available. Collection agency representatives also communicate the availability of financial assistance to patients as they recognize a financial need. They notify the Medical Center of these patients. We then follow up on these accounts and send a financial assistance packet to the patient. Jefferson Regional Medical Center is currently conducting a 2-year comprehensive community health needs assessment of certain cities and towns in its primary service area. The overall goal of the assessment is to provide Jefferson Regional with the ability to clarify the health needs and priorities of the communities it serves. The project will consist of two phases. Phase I, consists of a thorough review of existing data from the Missouri Dept. of Public Health. The anticipated completion of Phase I is December 2011. In Phase II, a comprehensive community survey will be distributed to a random sample of 2,400 households in our primary area. In addition, a series of community interviews will be conducted to help determine leading health needs and priorities. This is expected to be completed by April 2012. The final report will provide a needs assessment prepared from all the data collected in both phases of the project. Jefferson Regional Medical Center business partner, Firstsource Solutions USA, LLC, representatives visit self-pay inpatients, patients with minimal insurance benefits and other referred patients including Emergency Department and outpatients to assist with Medicaid eligibility, SSI, W/C, TPL, Crime Victims, VA, Champus, COBRA, medical hardship cases, and others. If no potential eligibility for third party payment is determined, the patient is provided with a financial assistance packet and an explanation of the financial assistance process. Our Financial Assistance Coordinator also assists patients with any help they may need in completing required paperwork and follow up. Informational posters regarding the availability of financial assistance are displayed on every level of the facility near main entrance locations, registration areas, the Emergency Department, each individual emergency treatment room and the Patient Accounts department cashiering office. Business cards for the Financial Assistance Coordinator are available at all registration areas and are given to potential applicants by registration personnel and during in-house visits. All medical center patient account letters and bills, as well as collection agency letters and bills, state the availability of financial assistance. Brightly colored inserts are enclosed with the first self-pay collection letter informing patients of the availability of financial assistance. Patient Accounts department information along with financial assistance information and applications are available on the Jefferson Regional Medical Center website. Patient Account Representatives communicate the availability of financial assistance and explain eligibility criteria upon learning of patient financial need. Financial Assistance Program in-services are provided to Admitting and Social Services staff. Also, new employees are informed of the Financial Assistance Program during orientation. Financial assistance announcements/reminders are made periodically during Leadership meetings and via our Medical Center Employee Newsletter. As one of the fastest growing counties in Missouri, Jefferson County benefits from its proximity to the amenities of St. Louis combined with the semi-rural atmosphere of small town living. Located in the Twin Cities of Crystal City and Festus, Jefferson Regional Medical Center reaches beyond the city limits to the neighboring communities of DeSoto, Herculaneum, Hillsboro and Pevely, along with many other smaller towns and villages. The hospital also serves nearby Ste. Genevieve and St. Francois counties. Positioned near the intersection of Interstate 55 and US Highways 61 and 67, Jefferson Regional is at the primary hub for southern Jefferson County and is easily accessible from the St. Louis area as well as southeastern Missouri. According to 2010 U.S. Census data, Jefferson County as a whole grew more than 10 percent, adding 20,634 residents for a total population of 218,733. Crystal City and Festus recorded growth percentages of 14 and 20 percent respectively, while other nearby cities - with smaller base populations - grew even more dramatically including Hillsboro at 68 percent, Pevely with 46 percent and Herculaneum at 24 percent. The populations are based on Census Designated Place which does not necessarily correspond with Postal ZIP Code or municipal boundaries. Most Jefferson County residents - about 73 percent - live outside of the city limits in unincorporated areas of the county. Still those cities are the primary centers of commerce and community, with the majority of businesses, churches, and schools located within the city limits. Founded as a company town around the glass factory that was built on the banks of the Mississippi River in the mid 1800s, Crystal City celebrated its centennial in 2011, marking 100 years of incorporation. Jefferson Regional owes significant gratitude to the glass factory and the community of Crystal City for the fund-raising drive that built the community hospital in 1957. The City of DeSoto is a railroad town and the largest city in Jefferson County south of the hospital. With 6,400 residents, according to the 2010 census, it also played a significant role in the fund-raising drive that built the hospital. The City of Festus is the largest community in southern Jefferson County with a 2010 population of 11,602. In combination with the three adjacent communities of Crystal City, Herculaneum and Pevely the population within a five-mile radius of Jefferson Regional Medical Center is more than 25,000. Demographically, as a whole, Jefferson Countys population is less than 5 percent non-white with very small ethnic communities located primarily in the cities of Crystal City, DeSoto and Festus. About 11 percent of the county population is over age 65 with the highest percentages occuring in the hospitals primary service area 17.3 percent in Crystal City, 13.5 percent in DeSoto, 13.8 percent in Festus, 15.4 percent in Herculaneum, 11 percent in Hillsboro and 10.8 percent in Pevely. The median income for the five-city base excluding Hillsboro is 46,652, while the median income countywide is 53,939. A total of 84.6 percent of persons age 25 and older are high school graduates and 16.8 percent have a bachelors degree or higher education. As the areas largest employer, Jefferson Regional Medical Center is committed to community building activities including collaborative efforts that focus on health education, access to care, and commercial development. The hospital hosts community residents and participates in health fair activities that bring critical healthcare information to the communities it serves. Events held on the Medical Center campus, at local businesses, and in school settings include multiple healthcare providers offering information and screenings in a health fair format. The annual Family Health Fair held at Jefferson Regional attracts hundreds of area residents each year and provides low-cost, full-lipid panel screenings, free health assessments, and discount-priced childrens bicycle helmets. In the fall of 2009 when concern about H1N1 flu virus was peaking, Jefferson Regional donated portable hand sanitizer containers for the students in every elementary school in southern Jefferson County. The Medical Center offers free transportation for area residents visiting the hospital for appointments. A VIP Care service coordinates the transportation and offers a lounge area for patients to wait between appointments and tests. Patients health can be monitored during their stay in the VIP Care lounge, all at no charge. During the October 1, 2009 through September 30, 2010 reporting period, Jefferson Regional maintained its affiliation with Iron County Hospital, helping the fledgling facility continue to meet the healthcare needs of its area while a new owner was being sought. Jefferson Regional recruited staff and a physician group to serve the residents of Iron County. In Jefferson county, Jefferson Regional opened a new urgent care center and recruited additional physicians and needed specialists including endocrinologists, a rheumatologist, and orthopedic surgeons. Jefferson Regional is a firm supporter of community organizations, especially the area public and private schools, and the chamber of commerce organizations. With representatives on the boards of these organizations and involved in civic clubs throughout the community, Jefferson Regional is dedicated to promoting community building and the health of the communities it serves. true American Heart Association 460 North Lindbergh Blvd St Louis MO 63141 135613797 501c3 86250 general support YMCA of Jefferson County 1303 YMCA Drive Festus MO 63028 430653616 501c3 5420 general support 2 I 2 The organization awards assistance to preapproved local charity based organizations. The amounts of 5,000 X X X X false false false false false false false false false Lloyd Ford Jr 347171 140880 11598 12250 8002 519901 James Muehlhauser 206447 19000 7762 11854 7346 252409 Beverly Johnson 167099 26461 11679 5595 210834 Blake Temple 173458 26539 4848 5997 210842 Jerome Ladous 153064 26651 2666 9179 3343 194903 Daniel Cox 328707 9100 337807 Eric Hale 172335 1120 3495 1443 178393 Lawrence Billy 162010 1548 5430 168988 Frank Krewett 151886 7851 1790 8167 2045 171739 Tina Smith 154043 2080 3172 2611 161906 Health and Educational Facilities Authority of the State of Missouri 431178966 60635RN45 2004-05-27 37340504 Various capital projects false false Health and Educational Facilities Authority of the State of Missouri 431178966 60635RU47 2005-04-27 7410212 Various capital projects false false 3707269 25558528 1512432 6280000 2006 true true true true 744000 4715486 267845 1703748 2010 true false true true false false false false false true false false false false false true false false false false false false false false false false false false Clarence Temple MD Father of B Temple-VP of Business Development 392319 Employed physician false Benjamin Albano Jr MD Son of B Albano Sr-Board Member 45378 Employed physician/independent contr false Form 990 III 2 Merged JMH Diversified Health Care into The Jefferson Memorial Hospital Association. Form 990 V 7b The organization supplies the information if requested by the donor. The organization will be implementing the necessary procedures to ensure notifications are provided in the future for donations. Form 990 VI 2 Board members Lindell Carter and Tonda Breeze have a business relationship. Form 990 VI 6 Under the Articles of Incorporation, Article VI states that the Corporation shall have one member, Jefferson Health System. Form 990 VI 7a In establishing new bylaws, Jefferson Memorial Hospital Associations members of the initial board shall be reduced to nine members, as members leave the board and are not to be replaced. Once the Board of Directors are reduced to nine members, members shall be appointed as necessary by the sole member, Jefferson Health System, from among its 15 member Board of Directors. Form 990 VI 7b Jefferson Health System, as the sole member of Jefferson Memorial Hospital Association shall maintain certain reserved powers of decisions over the sale of assets, long-term debt over a certain dollar amount, all decisions dealing with the assets and debts and any other decisions reserved for the Member. Jefferson Memorial Hospital Associations Board of Directors shall report to the Board of Directors of Jefferson Health System. Form 990 VI 11A The completed tax forms 990 and its related schedules are reviewed by both the Chief Accounting Officer and the Chief Financial Officer. The final tax return is presented to the board of directors at their monthly board meeting, where they are reviewed and discussed as needed. Form 990 VI 12c Jefferson Memorial Hospital Association requires all board members and senior management to complete an annual Conflict of Interest Questionnaire, which should disclose all potential and existing conflicts of interest. An annual report summarizing the comments from the questionnaire is approved by the board. As conflicts arise, members are required to disclose or abstain from voting and excuse themselves for the discussion. Form 990 VI 15 Executive compensation is reviewed annually by an outside contracted individual who is responsible for bringing recommendations to the financial committee and then to the full board. This procedure establishes salary limits as well as annual strategic goals and related bonuses. Form 990 VI 19 The organization makes its financial statements available to the public upon request. Form 990 XI 1 The corporation uses the modified accrual method of accounting. Jefferson Hospital Company ICH LLC 1400 Highway 61 South Crystal City MO 63019 263754189 Management company MO 187859 192482 N/A Jefferson Physician Network 1400 Highway 61 South Crystal City MO 63019 263753905 Physician offices MO 2171387 2060175 N/A Jefferson Land Company Inc P O Box 350 Crystal City MO 63019 431330360 Title holding company MO 501c2 N/A JMH Diversified Health Care P O Box 350 Crystal City MO 63019 431657255 Ambulance services MO 501c3 9 N/A Jefferson Health System 1400 Highway 61 South Crystal City MO 63019 263920271 Supporting organization MO 501c4 N/A Jefferson Memorial Surgical Partners LLC PO Box 350 Crystal City MO 63019 431803975 Outpatient surgery MO N/A Related -81862 599862 false true Apothecary Services Inc PO Box 350 Crystal City MO 63019 431627267 Retail Pharmacy MO N/A C Corp 816837 504430 1.00000 true false false true false false false false true false false false false true true true true true Apothecary Services Inc r 933257 Apothecary Services Inc p 1850000 Apothecary Services Inc n 480006 Apothecary Services Inc o 2361270 Jefferson Memorial Surgical Partners LLC o 69828 JMH Diversified Health Care r 5664956 JMH Diversified Health Care p 168490 JMH Diversified Health Care a 34500 JMH Diversified Health Care d 74600 JMH Diversified Health Care o 295903 JMH Diversified Health Care n 115396 Jefferson Health System n 326916 Jefferson Health System p 73797 Jefferson Health System q 401649