SKAGGS COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SKAGGS COMMUNITY HOSPITAL ASSOCIATION (EIN 44-0584290)
Tax period
2009-05-01 to 2010-04-30
Filed
2011-03-14
IRS object ID
201140739349300424
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-03-14T18:13:37-05:00Timestamp
Tax Period End Date2010-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN440584290EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SKAGGS COMMUNITY HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSKAGNameControl
Phone4173357000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 650AddressLine1
CityBRANSONCity
StateMOState
ZIP Code65615ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID STRONGName
TitleCFOTitle
Date Signed2011-03-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SKAGGS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMR WILLIAM MAHONEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 650AddressLine1
CityBRANSONCity
StateMOState
ZIP Code65615ZIPCode
FieldValueIRS element (for citing)
Gross Receipts178746641GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.skaggs.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE ORGANIZATION IS "IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES". SEE SCHEDULE O FOR ADDITIONAL INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1310TotalNbrEmployees
Total Nbr Volunteers330TotalNbrVolunteers
Total Gross UBI20475TotalGrossUBI
Net Unrelated Business Txbl Income139NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year603844ContributionsGrantsPriorYear
Contributions Grants Current Year686124ContributionsGrantsCurrentYear
Program Service Revenue Prior Year155372919ProgramServiceRevenuePriorYear
Program Service Revenue CY175066005ProgramServiceRevenueCY
Investment Income Prior Year-504498InvestmentIncomePriorYear
Investment Income Current Year547534InvestmentIncomeCurrentYear
Other Revenue Prior Year2002870OtherRevenuePriorYear
Other Revenue Current Year870043OtherRevenueCurrentYear
Total Revenue Prior Year157475135TotalRevenuePriorYear
Total Revenue Current Year177169706TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year174938GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1145686GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year66794999SalariesEtcPriorYear
Salaries Etc Current Year65707368SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year96285287OtherExpensePriorYear
Other Expenses Current Year113087215OtherExpensesCurrentYear
Total Expenses Prior Year163255224TotalExpensesPriorYear
Total Expenses Current Year179940269TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5780089RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2770563RevenuesLessExpensesCY
Total Assets BOY111024979TotalAssetsBOY
Total Assets EOY115519812TotalAssetsEOY
Total Liabilities BOY61972807TotalLiabilitiesBOY
Total Liabilities EOY66285419TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49052172NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49234393NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE ORGANIZATION IS "IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES".MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense112964692Expense
Grants96721Grants
Revenue147772037Revenue
DescriptionHOSPITAL SERVICES - FOR THE FYE 4/30/2010, SKAGGS REGIONAL MEDICAL CENTER EXPERIENCED A 2.5 PERCENT INCREASE IN PATIENT ADMISSIONS FOR A TOTAL OF 6,435 ADMISSIONS. OUTPATIENT VISITS SAW AN 8 PERCENT DECLINE FOR A TOTAL OF 94,259 OUTPATIENT VISITS. THE EMERGENCY ROOM HAD NEARLY A 13 PERCENT INCREASE IN VISITS CLIMBING TO 38,982 VISITS. SEE SCHEDULE O FOR MORE INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense41802257Expense
Revenue24307407Revenue
DescriptionCLINIC SERVICES - FYE 4/30/2010 SAW AN 11 PERCENT DECREASE IN CLINIC VISITS WITH 133,351 VISITS FOR THE FISCAL YEAR. WITH A FOCUS ON CLINIC OPERATIONS IN FYE 4/30/2010, THE CLINICS STARTED PROCESSES TO IMPROVE ACCESS AND IMPROVE COLLECTIONS OF CO-PAYS. SKAGGS CLINIC STRUCTURE INCLUDES PRIMARY CARE AND SPECIALTY CARE CLINICS. THE SPECIALTY CLINIC OFFERINGS INCLUDE: CARDIOLOGY, NEUROLOGY, RHEUMATOLOGY, ENDOCRINOLOGY, PEDIATRICS, OCCUPATIONAL HEALTH, GENERAL SURGERY, AND ORTHOPEDIC SURGERY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1737196Expense
Revenue1102838Revenue
DescriptionHOME HEALTH SERVICES HAD 9,702 VISITS FOR FY 2010, WHICH WAS A 2.5 PERCENT DECREASE OVER THE PRIOR YEAR. SKAGGS HOME HEALTH SERVICES WERE ENHANCED THIS FISCAL YEAR WITH THE ADDITION OF HOME MONITORING UNITS FOR THE ROUTINE MONITORING OF PATIENTS' VITALS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp625000TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt625000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev1863248TotalOfOtherProgramServiceRev
Total Program Service Expense157129145TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096153NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1310NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLEIGH A PATTERSONNamePerson
Telephone Number4173357789TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 650AddressLine1
CityBRANSONCity
StateMOState
ZIP Code65615ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DAVID AFSHAR DO
PHYSICIAN MEMBER THROUGH 7/0940.0X257001021326
DIANE CORNELISON DO
PHYSICIAN MEMBER40.0X666690026438
JUDY ELSTON
DIRECTOR THROUGH 12/20093.0X000
ROY JACK GILLISPIE MD
PHYSICIAN MEMBER40.0X171759013723
PHIL LOYD
TREASURER3.0X000X
ANN MCDOWELL
DIRECTOR3.0X000
DENNIS NEWKIRK
CHAIRMAN3.0X000X
DAVID SMITH
VICE CHAIRMAN3.0X000X
BOB SIMMONS
DIRECTOR3.0X000X
JOHN ANGLUM
DIRECTOR3.0X000
JAMES LEON COMBS
DIRECTOR3.0X000
RAEANNE PRESLEY
DIRECTOR3.0X000
JIM KANEASTER
SECRETARY3.0X000X
SCOTT ROSSOW
DIRECTOR3.0X000
DR LYNN ALLISON
DIRECTOR3.0X000
JAMES BERRY
DIRECTOR3.0X000
ROBERT TYK
CFO THROUGH 7/200940.014692101564X
CORDEL MUSCH
INTERIM CFO THROUGH 6/200940.0000X
KEN ROBINSON
INTERIM CFO THROUGH 4/201040.0000X
JOAN PHILIPS
INTERIM CEO THROUGH 1/201040.0000X
WILLIAM MAHONEY
CEO BEGINNING 1/201040.0000X
DAVID STRONG
CFO BEGINNING 4/201040.0000X
PETER MARCELLUS MD
DIRECTOR MEDICAL AFFAIRS40.0213420016219X
NARIN ARUNAKUL
PHYSICIAN40.0979260020144X
MITTIE M DRAGOSLJVICH
PHYSICIAN40.0861427020112X
JOHN W HUFFMAN
PHYSICIAN40.0520064027239X
CHRIS R REEVES
PHYSICIAN40.0664322027740X
LAWRENCE PAGE DO
PHYSICIAN40.063752127426X
MICHAEL BAYS DO
FORMER PHYSICIAN MEMBER11075200X
STEPHEN M ERIXON
FORMER CEO33691106071X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5566048TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation208002TotalOtherCompensation
Number Individuals GT100 K68NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CORNERSTONE PHYSICIANS
PHYSICIANS5262600
FTI HEALTHCARE
CONSULTANTS2056496
WHITE RIVER ANESTHESIA ASSOCIATION
PHYSICIANS1386954
COMPHEALTH ASSOCIATES INC
PHYSICIANS1313437
NUCLEAR DIAGNOSIS INC
NUC MED STUDIES1224987
FieldValueIRS element (for citing)
Number Of Contractors GT100 K31NumberOfContractorsGT100K
Related Organizations219237RelatedOrganizations
All Other Contributions466887AllOtherContributions
Total Contributions686124TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES900099173182282173182282
CAFETERIA722210690173690173
GIFT SHOP453220177383177383
MANAGEMENT FEES561000577148577148
OTHER90009943901941854420475
FieldValueIRS element (for citing)
Total Program Service Revenue175066005TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column451506TotalRevenueColumn
Exclusion$451,506ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real916883Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real47826Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real869057Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column869057TotalRevenueColumn
Exclusion$869,057ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1560041Securities
Other65096Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1469866Securities
Other59243Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities90175Securities
Other5853Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column96028TotalRevenueColumn
Exclusion$96,028ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINSURANCE SETTLEMENTDescription
Business Code524298BusinessCode
Total Revenue Column986TotalRevenueColumn
Exclusion$986ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue986TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column177169706TotalRevenueColumn
Related Or Exempt Function Income175045530RelatedOrExemptFunctionIncome
Unrelated Business Revenue20475UnrelatedBusinessRevenue
Exclusion$1,417,577ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1116682Total
Program Services1116682ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total29004Total
Program Services29004ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1535061Total
Program Services1156937ProgramServices
Management And General378124ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total524720Total
Program Services70986ProgramServices
Management And General453734ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total52291364Total
Program Services46954867ProgramServices
Management And General5336497ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1871113Total
Program Services1679855ProgramServices
Management And General191258ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5777605Total
Program Services5172145ProgramServices
Management And General605460ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3707505Total
Program Services3313918ProgramServices
Management And General393587ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total301404Total
Management And General301404ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total174510Total
Program Services575ProgramServices
Management And General173935ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26952479Total
Program Services18557433ProgramServices
Management And General8395046ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total837067Total
Program Services20913ProgramServices
Management And General816154ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4400910Total
Program Services2615988ProgramServices
Management And General1784922ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4220736Total
Program Services3326869ProgramServices
Management And General893867ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total199143Total
Program Services165245ProgramServices
Management And General33898ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total308183Total
Program Services218795ProgramServices
Management And General89388ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2267919Total
Program Services1967500ProgramServices
Management And General300419ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9935105Total
Program Services8612719ProgramServices
Management And General1322386ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2107889Total
Program Services1371306ProgramServices
Management And General736583ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS2990031729900317
DUES & SUBSCRIPTIONS399085156206242879
RECRUITING & RETENTION3643986678357720
MEDICAL SUPPLIES & DRUGS2345175723451757
MEDICAID EXPENSES69334316933431

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total332882Total
Program Services329019ProgramServices
Management And General3863ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total179940269Total
Program Services157129145ProgramServices
Management And General22811124ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY416712BOY
EOY510618EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17072017BOY
EOY15436026EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16397601BOY
EOY18238415EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY80000BOY
EOY227667EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY107430BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2063970BOY
EOY2208818EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2759064BOY
EOY2373565EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis149089370LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec91774494LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY55383948BOY
EOY57314876EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8355610BOY
EOY10375816EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5731767BOY
EOY7015539EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY429857BOY
EOY278244EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2227003BOY
EOY1540228EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY111024979BOY
EOY115519812EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16642898BOY
EOY14653081EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY39510000BOY
EOY38345000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4769909BOY
EOY12762338EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1050000BOY
EOY525000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY61972807BOY
EOY66285419EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY43608179BOY
EOY42464831EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5443993BOY
EOY6769562EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49052172BOY
EOY49234393EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111024979BOY
EOY115519812EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$8,962OtherActivitiesAmount
Total Lobbying Expenditures IIB8962TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2593225OtherCostOrOtherBasis
Book Value2593225BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis59435633OtherCostOrOtherBasis
Depreciation35438607Depreciation
Book Value23997026BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10937518OtherCostOrOtherBasis
Depreciation2325742Depreciation
Book Value8611776BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67409297OtherCostOrOtherBasis
Depreciation50607881Depreciation
Book Value16801416BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8713697OtherCostOrOtherBasis
Depreciation3402264Depreciation
Book Value5311433BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings57314876TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN TRUST6769562C
INV IN BRANSON ORTHO/NEURO CTR211405C
INV IN EQUITY INVESTEE34572C
FieldValueIRS element (for citing)
Total Of Book Value Securities7015539TotalOfBookValueSecurities
Total Revenue177169706TotalRevenue
Total Expenses179940269TotalExpenses
Excess Or Deficit For Year-2770563ExcessOrDeficitForYear
Net Unrealized GL On Investments1312630NetUnrealizedGLOnInvestments
Other$1,640,154OtherAmount
Total Adjustments2952784TotalAdjustments
Excess Or Deficit Per FS182221ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt178172630TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1312630NetUnrealizedGainsInvestments
Other Revenues-357532OtherRevenues
Revenue Not Rptd F990955098RevenueNotRptdF990
Revenue Subtotal177217532RevenueSubtotal
Other Revenues Not Included-47826OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-47826RevenueNotRptdOnFinStmt
Total Revenue Per Form990177169706TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt179315978TotExpensesEtcAuditedFinclStmt
Other Expenses Included47826OtherExpensesIncluded
Expenses Not Rptd F99047826ExpensesNotRptdF990
Expenses Subtotal179268152ExpensesSubtotal
Other Expenses Not Included672117OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt672117ExpensesNotRptdOnFinStmt
Total Expenses Per Form990179940269TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 DISCLOSURESCHEDULE D, PART X, LINE 2THE 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.
OTHER CHANGES IN NET ASSETSSCHEDULE D, PART XI, LINE 8$( 124,349) TRANSFER OF NET ASSETS TO AFFILIATE 1,325,569 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 438,934 ADJUSTMENT OF DONATED BUILDING BASIS TO APPRAISAL VALUE ------------ $ 1,640,154
RECONCILIATION OF REVENUE-OTHER RECONCILING ITEMSSCHEDULE D, PART XII, LINE 2D$( 124,349) TRANSFER OF NET ASSETS TO AFFILIATE ( 47,117) OTHER FEES INCLUDED WITH REVENUES ON THE AUDIT REPORT MOVED TO BE PROPERLY INCLUDED IN EXPENSES ON THE TAX RETURN. ( 186,066) BOOK BASIS OF BUILDING DONATED TO FAITH CHC INCLUDED WITH REVENUES ON THE AUDIT REPORT MOVED TO BE INCLUDED IN GRANT EXPENSES ON THE TAX RETURN. ------------ $( 357,532) RECONCILIATION OF REVENUE & EXPENSES-OTHER RECONCILING ITEM SCHEDULE D, PART XII, LINE 4B AND PART XIII, LINE 2D $ 47,826 OF DEPRECIATION EXPENSE INCLUDED WITH EXPENSES ON THE AUDIT REPORT IS RELATED TO RENTAL INCOME AND HAS BEEN PROPERLY MOVED TO BE INCLUDED ON THE STATEMENT OF REVENUE ON THE TAX RETURN.
RECONCILIATION OF EXPENSES-OTHER RECONCILING ITEMSSCHEDULE D, PART XIII, LINE 4B$ 47,117 OTHER FEES INCLUDED WITH REVENUES ON THE AUDIT REPORT MOVED TO BE PROPERLY INCLUDED IN EXPENSES ON THE TAX RETURN. 625,000 BUILDING DONATED TO FAITH CHC (SEE SCHEDULE I) INCLUDING $ 186,066 BOOK BASIS OF BUILDING RECLASSED FROM REVENUES AND $438,934 BASIS ADJUSTMENT TO APPRAISAL VALUE. ------------ $ 672,117

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3282752TotalCommunityBenefitExpense
Net Community Benefit Expense3282752NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense22947023TotalCommunityBenefitExpense
Direct Offsetting Revenue20274951DirectOffsettingRevenue
Net Community Benefit Expense2672072NetCommunityBenefitExpense
Percent Of Total Expense0.01480PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense26229775TotalCommunityBenefitExpense
Direct Offsetting Revenue20274951DirectOffsettingRevenue
Net Community Benefit Expense5954824NetCommunityBenefitExpense
Percent Of Total Expense0.03300PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense182290TotalCommunityBenefitExpense
Direct Offsetting Revenue3860DirectOffsettingRevenue
Net Community Benefit Expense178430NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense189278TotalCommunityBenefitExpense
Net Community Benefit Expense189278NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense18597537TotalCommunityBenefitExpense
Direct Offsetting Revenue17034749DirectOffsettingRevenue
Net Community Benefit Expense1562788NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1116682TotalCommunityBenefitExpense
Net Community Benefit Expense1116682NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20085787TotalCommunityBenefitExpense
Direct Offsetting Revenue17038609DirectOffsettingRevenue
Net Community Benefit Expense3047178NetCommunityBenefitExpense
Percent Of Total Expense0.01700PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense46315562TotalCommunityBenefitExpense
Direct Offsetting Revenue37313560DirectOffsettingRevenue
Net Community Benefit Expense9002002NetCommunityBenefitExpense
Percent Of Total Expense0.05000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3875TotalCommunityBuildingExpense
Net Community Building Expense3875NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense11725TotalCommunityBuildingExpense
Net Community Building Expense11725NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense7950TotalCommunityBuildingExpense
Net Community Building Expense7950NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense23550TotalCommunityBuildingExpense
Net Community Building Expense23550NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$10,572,752BadDebtExpenseAmount
Amount Attributable To1585913AmountAttributableTo
Amount Reimbursed By Medicare42949521AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare40348493CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2601028MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
BRANSON ORTHONEURO
MEDICAL BUILDING0.660000.080000.26000
SKAGGS HEALTH SYSTEM
MEDICAL SUPPORT0.500000.000000.50000

Form990 Schedule H Part V Form990ScheduleHPartV (15 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
SKAGGES COMMUNITY HEALTH CENTER
251 SKAGGS ROADBRANSONMO65616XXX
SKAGGS-COX HEALTH ALLIANCE LLC
1101 BRANSON HILLS PARKWAYBRANSONMO65616WAL-MART NURSE PRACTITIONER CLINIC
SKAGGS OUTPATIENT CENTER
545 N BRANSON LANDING BLVDBRANSONMO65616OUTPATIENT DEPTS PHYSICIAN CLINICS
MARY'S WELL HOUSE
5136 HWY 265BRANSONMO65616PHYSICIAN CLINIC
SKAGGS ORTHONEURO CENTER
101 CAHILL RDBRANSONMO65616OUTPATIENT DEPT PHYSICIAN CLINICS
CASTLEROCK
1015 STATE HWY 248BRANSONMO65616PHYSICIAN CLINICS
BRANSON HEART CENTER
1150 HWY 248BRANSONMO65616OUTPATIENT DEPTS PHYSICIAN CLINICS
SKAGGS HOSPICE
611 S SIXTH STBRANSONMO65616HOME HEALTH HOSPICE BUSINESS OFFICE
PREMIER FAMILY MEDICINE
895 HWY 248BRANSONMO65616PHYSICIAN CLINIC
SKAGGS MEDICAL EAST
13852 ST HWY 160FORSYTHMO65653PHYSICIAN CLINIC
SKAGGS SOUTHSIDE CLINICS
590 BIRCH STHOLLISTERMO65672PHYSICIAN CLINICS
SKAGGS MEDICAL WEST
11863 ST HWY 13KIMBERLING CITYMO65686PHYSICIAN CLINIC
BRANSON WEST MEDICAL CAREREHAB
18452 ST HWY 13BRANSON WESTMO65737OUTPATIENT DEPTS PHYSICIAN CLINICS
STONE COUNTY PT DEPARTMENT
17565 ST HWY 13REEDS SPRINGMO65737OUTPATIENT DEPTS
FITNESS CENTER
1500 BRANSON HILLS PKWYBRANSONMO65616FITNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteTHE 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 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 ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.BadDebtFootnote
Shortfall As Community BenefitTHE HOSPITAL IS DESIGNATED BY MEDICARE AS A SOLE COMMUNITY HOSPITAL AND AS SUCH IS THE SOLE SOURCE OF HOSPITAL CARE WITHIN A 35 MILE RADIUS. AS A LARGE RURAL HOSPITAL, MINIMUM STAFFING MUST BE MAINTAINED REGARDLESS OF SWINGS IN PATIENT VOLUME. WITHOUT THE HOSPITAL MEDICARE PATIENTS WOULD NEED TO TRAVEL SIGNIFICANT DISTANCES TO RECEIVE HOSPITAL CARE. 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.ShortfallAsCommunityBenefit
Needs AssessmentSKAGGS REGIONAL MEDICAL CENTER WORKS CLOSELY WITH ITS COMMUNITY THROUGH ITS RELATIONSHIP WITH ITS 120 PLUS TRUSTEES WHO ARE COMMUNITY LEADERS FROM TANEY AND STONE COUNTIES. SKAGGS ALSO MAINTAINS A STRONG RELATIONSHIP WITH AREA HEALTH DEPARTMENTS MONITORING THE HEALTH CARE NEEDS OF OUR COMMUNITY.NeedsAssessment
Patient Education AssistanceSKAGGS REGIONAL MEDICAL CENTER SCREENS ALL SELF PAY PATIENTS FOR MEDICAID BY OUTSOURCING SELF PAY TO SEE IF PATIENTS QUALIFY FOR ENTITLEMENT. IF THEY DO NOT QUALIFY THEY WILL TALK TO A FINANCIAL COUNSELOR AND THEY WILL SCREEN THEM FOR CHARITY. WE ALSO HAVE SIGNS THAT INCLUDE "THIS HOSPITAL DOES PARTICIPATE IN THE MEDICAID PROGRAM".PatientEducationAssistance
Community InformationSKAGGS REGIONAL MEDICAL CENTER CONSIDERS TANEY AND STONE COUNTIES AS ITS PRIMARY SERVICE AREA WITH BOONE COUNTY AND PARTS OF CARROLL COUNTY IN NORTHERN ARKANSAS AS ITS SECONDARY SERVICE AREA. THE TOTAL POPULATION OF ZIP CODES SERVED BY SRMC IS APPROXIMATELY 144,000. THE PROJECTED POPULATION GROWTH IN THESE AREAS, ESPECIALLY THE CONTINUING MIGRATION INTO THE AREA OF RETIREES, IS A SIGNIFICANT FACTOR IN THE EVER-INCREASING NEED FOR HIGH-TECH MEDICAL SERVICES. THE POPULATION AGE 65 YEARS OR OLDER IN TANEY COUNTY IS 17 PERCENT, WHILE STONE COUNTY IS 21.8 PERCENT. AS A TOURIST DESTINATION, THE BRANSON/LAKES AREA HAS A STRONG SERVICE INDUSTRY WORKFORCE WHO OFTEN DON'T HAVE HEALTHCARE BENEFITS. THE MEDIAN HOUSEHOLD INCOME IN TANEY COUNTY IS $37,573 AND $41,287 IN STONE COUNTY. THE PROJECTED POPULATION FOR THIS AREA IS EXPECTED TO GROW TO 155,000 BY 2014.CommunityInformation
Community Building ActivitiesSKAGGS REGIONAL MEDICAL CENTER CONTINUES TO PROVIDE MANY COMMUNITY OUTREACH PROGRAMS THROUGH ITS SPEAKERS' BUREAU, COMMUNITY SCREENINGS AND EDUCATION PROGRAMS. SKAGGS REACHES MORE THAN 12,000 INDIVIDUALS THROUGH THESE EFFORTS.CommunityBuildingActivities
Other InformationSKAGGS REGIONAL MEDICAL CENTER HAS A 13-MEMBER BOARD OF DIRECTORS WHO ARE ELECTED FROM THE 120 PLUS TRUSTEES. SEVERAL THOUSANDS OF DOLLARS ARE SPENT EACH YEAR OFFERING FREE OR LOW-COST SCREENINGS TO THE COMMUNITY AND EDUCATIONAL PROGRAMS. SKAGGS PHYSICIANS AND STAFF ARE COMMITTED TO EDUCATING THE COMMUNITY TO HELP ENSURE A HEALTHIER FUTURE. CPR CLASSES, SMOKING CESSATION CLASSES, PRENATAL CLASSES, ETC. ARE ALL FOCUSED ON GIVING OUR COMMUNITY MEMBERS THE RESOURCES THEY NEED TO MAKE INFORMED DECISIONS.OtherInformation
Reports Filed With StatesMOReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrant
FAITH COMMUNITY HEALTH CENTER INC
PO BOX 761BRANSONMO65615943467834501(C)(3)625000APPRAISALBUILDINGSUPPORT
UNIVERSITY OF MISSOURI-COLUMBIA
PO BOX 807012KANSAS CITYMO64180436003859501(C)(3)SUPPORT12500
ST LOUIS REGIONAL DSH FUNDING AUTHORITY
PO BOX 6766JEFFERSON CITYMO651026766061642698501(C)(3)SUPPORT465493
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantTUITION ASSISTANCETypeOfGrant
Number Of Recipients18NumberOfRecipients
Amount Of Cash Grant29004AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE HOSPITAL NURSING ADMINISTRATION IS IN CONTACT WITH THE NURSING SCHOOL ADMINISTRATION OF THE COLLEGE OF THE OZARKS REGARDING THE STATUS OF THE PROGRAM, FUTURE PLACEMENT OPPORTUNITIES, ETC. EMPLOYEES MUST MEET A NUMBER OF QUALIFICATIONS TO QUALIFY FOR TUITION ASSISTANCE. FOLLOWING COMPLETION OF THE COURSE, THE EMPLOYEE MUST SUBMIT, IN WRITING, A REQUEST FOR A CHECK NOT TO EXCEED $1,000. THE REQUEST MUST BE ACCOMPANIED WITH A STATEMENT FROM THE SCHOOL WITH A BREAKDOWN OF CHARGES AND GRADES IS SUBMITTED TO THE HUMAN RESOURCE DIRECTOR. THE HOSPITAL NURSING ADMINISTRATION ATTENDS BOARD MEETINGS OF THE UNIVERSITY OF MISSOURI AND RECEIVES FULL ACCOUNTING OF HOW GRANT FUNDS ARE USED AND APPROVES THE USE. DURING THE FISCAL YEAR, THE HOSPITAL ALSO MADE A ONE TIME BUILDING DONATION TO FAITH COMMUNITY HEALTH CENTER, ANOTHER EXEMPT ENTITY 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 DURING FISCAL YEAR 2010. 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
MICHAEL BAYS DO
000110752001107520
STEPHEN M ERIXON
963500024056192751443429820
DAVID AFSHAR DO
2507500062511592554012783270
DIANE CORNELISON DO
56004301042552392257666726931280
ROY JACK GILLISPIE MD
1705810011781127524481854820
PETER MARCELLUS MD
2119150015051377124482296390
NARIN ARUNAKUL
5945110557773289721600041449994040
MITTIE M DRAGOSLJVICH
76726200941651339267208815390
JOHN W HUFFMAN
50467900153852164355965473030
CHRIS R REEVES
62235400419682359641446920620
LAWRENCE PAGE DO
63379203729232824144664947

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GROSS-UP PAYMENTSSCHEDULE J, PART I, LINE 1ARUNAKUL, PAGE, DRAGOSLIJVIC, REEVES, AND BAYS RECEIVED GROSS-UP PAYMENTS ON FORGIVEN PRINCIPAL AND INTEREST. ALL AMOUNTS WERE TREATED AS TAXABLE WAGES.
SEVERANCE PAYMENTSSCHEDULE J, PART I, LINE 4ATHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION: ROBERT TYK $ 95,198 STEPHEN ERIXON 227,438
BONUSESSCHEDULE J, PART I, LINES 6A & 7THE CEO, CNO, CFO, CMO AND OTHER EXECUTIVE PERSONNEL NOT LISTED ON THE 990 HAD A PORTION OF THEIR BONUS (25%) BASED ON EARNINGS BEFORE INTEREST, DEPRECIATION, AND AMORTIZATION (EBIDA). THE REMAINING 75% WAS BASED ON OTHER FACTORS INCLUDING TURNOVER RATE, PATIENT SATISFACTION, QUALITY MEASURES, ETC. PHYSICIANS (DR CORNELISON IN THE CURRENT YEAR) RECEIVE BONUSES BASED ON THE NET EARNINGS OF THEIR PARTICULAR CLINIC, SPECIFICALLY THEIR OWN COLLECTIONS LESS EXPENSES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE INDUSTRIAL DEVELOPMENT AUTHORITY OF TANEY COBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN431288274IssuerEIN
CUSIP Number87539NBQ8CUSIPNumber
Date Issued2005-11-17DateIssued
Issue Price17635000IssuePrice
Description Of PurposeSEE SCHEDULE O.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds18700518TotalProceeds
Amount In Reserve Fund1256476AmountInReserveFund
Amount Defeased0AmountDefeased
Amount Unspent0AmountUnspent
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures17473101CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1AIG MATCHED FUNDINGBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC23.4TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedtrueGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
DR LAWRENCE PAGE
SIGNING BONUSX$50,00020000falsefalsetrue
DR NARIN ARUNAKUL
SIGNING BONUSX$50,00030000falsefalsetrue
DR DRAGOSLIJVIC
SIGNING BONUSX$25,00016667falsetruetrue
DR REEVES
RETURN TO HOSP AREAX$200,000161000falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due227667TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CONNIE MARCELLUS
SPOUSE OF PETER MARCELLUS40016EMPLOYEE COMPENSATIONfalse
BETH GILLISPIE
SISTR IN LAW OF GILLIPSIE30970EMPLOYEE COMPENSATIONfalse
SKAGGS HEALTH SYSTEM
SEE SCHEDULE 0.146008PHO DUES & ADMIN FEESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART I, LINE 1THE SKAGGS TEAM INCLUDES THE EMPLOYEES, PHYSICIANS, BOARD MEMBERS, TRUSTEES AND VOLUNTEERS OF SKAGGS REGIONAL MEDICAL CENTER. THE SKAGGS TEAM IS DEDICATED TO ACHIEVING THE ORGANIZATION'S MISSION BY TAKING A LEADERSHIP ROLE IN WELLNESS THROUGH EDUCATION, PREVENTION AND ADVOCACY; SERVING OUR PATIENTS THROUGH THE USE OF MODERN TECHNOLOGY BY SKILLED PROFESSIONALS AND PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY IN ASSISTING INDIVIDUALS TO REACH THEIR HIGHEST QUALITY OF LIFE. THE SKAGGS TEAM ACCOMPLISHES THIS BY PROVIDING THE CLEANEST, FRIENDLIEST AND SAFEST HEALTHCARE ENVIRONMENT YOU WILL EVER EXPERIENCE; WITH AN ORGANIZED, CARING, HONEST TEAM THAT TAKES PRIDE IN ITS WORK; BY PROVIDING OUR HEALTH SYSTEM SERVICES IN CONVENIENT, ACCESSIBLE FACILITIES; BY PROVIDING INDIVIDUALIZED CARE FOR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS; BY TREATING EACH OTHER AS WE WOULD WANT TO BE TREATED; BY EMPOWERING OUR TEAM MEMBERS TO DO WHATEVER IT TAKES TO ANTICIPATE NEEDS AND SOLVE CHALLENGES AS THEY ARISE; BY ENCOURAGING OUR TEAM TO BE PROACTIVE IN PERSONAL HEALTH AND WELLNESS AND WITH FINANCIAL INTEGRITY AND STABILITY. THE SKAGGS TEAM STRIVES TO FULFILL THIS MISSION BY PARTNERING WITH THOSE WE SERVE TO ACHIEVE THE HIGHEST LEVEL OF SATISFACTION.
PROGRAM SERVICES ACTIVITY #1FORM 990, PART III, LINE 4AIN JANUARY, SKAGGS WELCOMED A NEW CEO/PRESIDENT, WILLIAM MAHONEY. MR. MAHONEY HAS MORE THAN 10 YEARS OF EXPERIENCE, LEADING VARIOUS MID-WESTERN HOSPITALS TO IMPROVED FINANCIAL RESULTS, BETTER QUALITY MEASURES AND ENHANCED SERVICES. HE CAME TO SKAGGS AFTER SERVING AS CEO OF LABETTE HEALTH, A 109 BED, ACUTE CARE FACILITY IN PARSONS, KANSAS. THERE, HE ESTABLISHED THE ONLY RURAL DIABETES CENTER IN THE UNITED STATES, AND LOWERED HOSPITAL TURNOVER TO SIX PERCENT, INCREASING NET REVENUES BY 57 PERCENT IN A LOW INCOME COUNTY IN KANSAS. MR. MAHONEY SOUGHT COMMUNITY FEEDBACK DURING HIS INITIAL FEW MONTHS AT SKAGGS, VISITING MORE THAN 100 COMMUNITY LEADERS ABOUT THE HEALTHCARE SERVICES OFFERED IN THE COMMUNITY. THE INPUT HE RECEIVED WAS A CRITICAL DRIVING FORCE TO ESTABLISHING PRIORITIES FOR SKAGGS' FUTURE. THESE PRIORITIES INCLUDED IMPROVED BILLING, REDUCING BAD DEBT, AND IMPROVING CLINIC OPERATIONS. PROVIDING QUALITY CARE IS ALSO A TOP PRIORITY AT SKAGGS. THIS WAS WITNESSED WITH THE SUCCESSFUL RE-ACCREDITATION BY THE JOINT COMMISSION IN JULY 2009, AND THE JANUARY 2010 ANNOUNCEMENT THAT SKAGGS WAS ALSO RECOGNIZED BY HEALTHGRADES FOR ITS CLINICAL EXCELLENCE FOR THE FIFTH YEAR IN A ROW. HEALTHGRADES IS THE NATION'S LEADING HEALTHCARE RATINGS COMPANY, RATING NEARLY 5,000 HOSPITALS NATIONWIDE. SKAGGS RECEIVED THE FOLLOWING DISTINCTIONS FOR 2010: -ONE OF ONLY THREE HOSPITALS IN MISSOURI TO BE A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE FOR FIVE YEARS IN A ROW (2006-2010) -ONLY HOSPITAL IN SOUTHWEST MISSOURI TO BE RANKED AMONG THE TOP 5 PERCENT IN THE NATION FOR OVERALL CLINICAL EXCELLENCE IN 2010 -ONLY HOSPITAL IN SOUTHWEST MISSOURI TO BE A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE IN 2010 -ONLY HOSPITAL IN SOUTHWEST MISSOURI TO BE A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE FOR FIVE YEARS IN A ROW (2006-2010) -RANKED #1 IN MISSOURI FOR CARDIAC SURGERY -RANKED BEST IN TANEY, JASPER & GREENE COUNTIES FOR OVERALL CARDIAC CARE -RANKED BEST IN TANEY, JASPER & GREENE COUNTIES FOR CARDIOLOGY -FIVE-STAR RATED FOR TREATMENT OF HEART FAILURE FOR FOUR YEARS IN A ROW (2007-2010) -FIVE-STAR RATED FOR TREATMENT OF HEART ATTACK -FIVE-STAR RATED FOR CORONARY BYPASS SURGERY -FIVE-STAR RATED FOR HIP FRACTURE REPAIR -RECIPIENT OF HEALTHGRADES 2010 PULMONARY CARE EXCELLENCE AWARD -RANKED AMONG THE TOP FIVE IN MISSOURI FOR OVERALL PULMONARY CARE (RANKED #4) -FIVE-STAR RATED FOR TREATMENT OF PNEUMONIA - THREE YEARS IN A ROW (2008-2010) -FIVE-STAR RATED FOR TREATMENT OF COPD -FIVE-STAR RATED FOR TREATMENT OF SEPSIS -FIVE-STAR RATED FOR TREATMENT OF RESPIRATORY FAILURE -2010/11 HEALTHGRADES WOMEN'S HEALTH EXCELLENCE AWARD
INDEPENDENT BOARD MEMBERSFORM 990, PART VI, SECTION A, LINE 1BTHREE OF THE BOARD MEMBERS ARE NOT INCLUDED IN THE NUMBER OF INDEPENDENT BOARD MEMBERS SOLELY DUE TO SERVING ON THE BOARD OF SKAGGS HEALTH SYSTEM. NONE OF THESE MEMBERS WERE COMPENSATED BY EITHER ORGANIZATION.
MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3INTERIM CFO DUTIES WERE DELEGATED TO CORDEL MUSCH UNDER AN AGREEMENT MADE BETWEEN QUORUM HEALTH RESOURCES (QHR) AND SKAGGS. IN ADDITION, INTERIM CFO DUTIES AND INTERIM CEO DUTIES WERE DELEGATED TO KEN ROBINSON AND JOAN PHILLIPS, RESPECTIVELY, UNDER AN AGREEMENT MADE BETWEEN FTI HEALTHCARE AND SKAGGS.
MEMBERS, STOCKHOLDERS, OR OTHER PERSONSFORM 990, PART VI, SECTION A, LINES 6 & 7ATHE MEMBERSHIP OF THIS ORGANIZATION SHALL BE LIMITED TO PERSONS WHO ARE SELECTED AS A TRUSTEE, BY THE TRUSTEES. MEMBERS OF THE ACTIVE MEDICAL STAFF SHALL BE CONSIDERED NON-VOTING TRUSTEES AS LONG AS THEY REMAIN IN GOOD STANDING ON THE MEDICAL STAFF TRUSTEES, WHO ARE NOT MEMBERS OF THE MEDICAL STAFF, SHALL BE ENTITLED TO ONE (I) VOTE IN THE ELECTION OF DIRECTORS IN SAID CORPORATION; AND IN ALL MATTERS, THE MAJORITY OF THE VOTES CAST SHALL CONTROL. ACTIVE TRUSTEES SHALL HAVE ALL THE BENEFITS, DUTIES AND OBLIGATIONS OF TRUSTEES AS FURTHER DEFINED IN THE BYLAWS WITHOUT QUALIFICATION. IF ANY TRUSTEE SHALL FAIL TO ATTEND FOUR (4) CONSECUTIVE ANNUAL TRUSTEES' MEETINGS, THEN SAID TRUSTEE SHALL AUTOMATICALLY BE REMOVED FROM TRUSTEE BOARD MEMBERSHIP. NON-MEDICAL TRUSTEES IN GOOD STANDING SHALL BE APPOINTED AND HOLD OFFICE FOR LIFE, OR UNTIL RESIGNATION OR FAILURE TO FUNCTION, OR THEY MOVE OUT OF HOSPITAL SERVICE AREA. UPON THE DEATH, RESIGNATION OR FAILURE TO FUNCTION OF ANY NON-MEDICAL TRUSTEE, A NEW TRUSTEE SHALL BE ELECTED BY A MAJORITY VOTE OF THE REMAINING TRUSTEES VOTING THEREON. NEW TRUSTEES SHALL BE ELECTED AT THE ANNUAL MEETING OF THE TRUSTEES BY MAJORITY VOTE OF THE TRUSTEES VOTING THEREON. MEMBERS OF THE ACTIVE MEDICAL STAFF SHALL HOLD OFFICE SO LONG AS THEY SHALL CONTINUE TO BE A MEMBER OF THE ACTIVE MEDICAL STAFF IN GOOD STANDING.
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11ATHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. IT IS THEN REVIEWED INTERNALLY BY TOP MANAGEMENT. AFTER TOP MANAGEMENT HAS PERFORMED ITS REVIEW AND PRIOR TO SUBMISSION, A DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS. WHILE THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS, IT IS THE MEMBERS OF THE FINANCE COMMITTEE THAT GO THROUGH AND REVIEW THE RETURN IN DETAIL. AFTER THE BOARD OF DIRECTORS HAVE PERFORMED THEIR REVIEW, THE DRAFT IS FINALIZED AND SUBMITTED TO THE IRS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, AGENTS, MEDICAL STAFF, OFFICERS AND DIRECTORS OF THE ORGANIZATION. IT IS MONITORED AND ENFORCED THROUGH THE THIRD PARTY COMPLIANCE HOTLINE, GLOBAL COMPLIANCE. WHEN A COMPLIANCE ISSUE IS RECEIVED, IT IS INVESTIGATED FOLLOWING POLICY GUIDELINES. PREVIOUSLY, THE POLICY WAS MONITORED INTERNALLY BY CALLING DIRECTLY TO THE COMPLIANCE OFFICER WHO INVESTIGATED AND FOLLOWED UP ON ALL CALLS.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE COMPENSATION AND BENEFITS COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, MET ON NOVEMBER 25, 2009 TO REVIEW THE COMPENSATION AND BENEFITS FOR THE CEO OF THE HOSPITAL. THE CEO REVIEWS THE COMPENSATION OF THE VICE PRESIDENTS AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE WHO FORMALLY APPROVES THE COMPENSATION. THE COMMITTEE OBTAINED COMPARABILITY DATA OF TOTAL COMPENSATION AND BENEFITS FOR COMPARABLE POSITIONS FROM INTEGRATED HEALTHCARE STRATEGIES (IHS WAS CONTRACTED BY THE COMMITTEE). THE COMMITTEE ALSO REVIEWED THE DATA FROM OTHER ORGANIZATIONS COMPARABLE IN SIZE, SERVICE AND COMPLEXITY TO SKAGGS HOSPITAL ASSOCIATION. AFTER CONSIDERING ALL DATA, COMPENSATION WAS DETERMINED TO BE REASONABLE AND WAS APPROVED.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
TAX EXEMPT BOND PURPOSESCHEDULE K, PART I, LINE ATHE PURPOSE OF THE TAX EXEMPT BOND IS TO FINANCE A PORTION OF THE COSTS OF THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF (1) INPATIENT ROOMS FOR THE INPATIENT REHABILITATION, TRANSITIONAL CARE, AND OTHER MEDICAL UNITS, (2) CONSTRUCTION OF THE RADIATION ONCOLOGY DEPARTMENT, (3) A CLINICAL RECORD SYSTEM AND (4) ADDITIONAL CAPITAL IMPROVEMENTS TO THE FACILITIES AND EQUIPMENT OF THE HOSPITAL
TRANSACTIONS WITH INTERESTED PERSONSSCHEDULE L, PART IVSKAGGS HEALTH SYSTEM AND SKAGGS COMMUNITY HOSPITAL SHARE COMMON BOARD MEMBERS, INCLUDING: GILLIPSIE, ANGLUM, COMBS, AND NEWKIRK.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssets
SKAGGS EMERGENCY PHYSICIANS
PO BOX 650BRANSONMO65615352275232BILLINGMO00
BRANSON HEART CENTER
PO BOX 650BRANSONMO65615300497209BILLINGMO00
SKAGGS OCCUPATIONAL HEALTH
PO BOX 650BRANSONMO65615383774737BILLINGMO00
BRANSON FAMILY MEDICINE CLINIC
PO BOX 650BRANSONMO65615322331834BILLINGMO00
SKAGGS MEDICAL SUPPLIES
PO BOX 650BRANSONMO65615320231590BILLINGMO00

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SKAGGS FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 650AddressLine1
CityBRANSONCity
StateMOState
ZIP Code65615ZIPCode
FieldValueIRS element (for citing)
EIN300107007EIN
Primary ActivitiesFUNDRAISINGPrimaryActivities
Legal Domicile StateMOLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11 A IPublicCharityStatus

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BRANSON ORTHONEURO CENTER LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114-1952089AddressLine1
CityBRANSONCity
StateMOState
ZIP Code65616ZIPCode
FieldValueIRS element (for citing)
EIN141952089EIN
Primary ActivityMED BLDGPrimaryActivity
Legal Domicile StateMOLegalDomicileState
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income18400ShareOfTotalIncome
Share Of EOY Assets3768236ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
BRANSON ORTHONEURO CENTER LLC
A16337
BRANSON ORTHONEURO CENTER LLC
J616752
SKAGGS FOUNDATION
C219237
SKAGGS FOUNDATION
P228686

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