2011-03-14T18:13:37-05:00 2010-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-05-01 440584290 SKAGGS COMMUNITY HOSPITAL ASSOCIATION SKAG 4173357000 PO BOX 650 BRANSON MO 65615 DAVID STRONG 2011-03-03 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z SKAGGS REGIONAL MEDICAL CENTER MR WILLIAM MAHONEY PO BOX 650 BRANSON MO 65615 178746641 false X www.skaggs.net X 1950 MO THE MISSION OF THE ORGANIZATION IS "IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES". SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 14 9 1310 330 20475 139 603844 686124 155372919 175066005 -504498 547534 2002870 870043 157475135 177169706 174938 1145686 0 0 66794999 65707368 0 0 0 96285287 113087215 163255224 179940269 -5780089 -2770563 111024979 115519812 61972807 66285419 49052172 49234393 THE MISSION OF THE ORGANIZATION IS "IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES". false false 112964692 96721 147772037 HOSPITAL 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. 41802257 24307407 CLINIC 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. 1737196 1102838 HOME 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. 625000 625000 1863248 157129145 true true false true false false false false false true false true false false false false false false false false true true true true true false false false false false true false false true true false false false false true true true false false true 153 0 true 1310 true true true false false false false false false false false 14 9 false true false false true true false true true false false true true true true true true true true true false X LEIGH A PATTERSON 4173357789 PO BOX 650 BRANSON MO 65615 DAVID AFSHAR DO 40.0 X 257001 0 21326 DIANE CORNELISON DO 40.0 X 666690 0 26438 JUDY ELSTON 3.0 X 0 0 0 ROY JACK GILLISPIE MD 40.0 X 171759 0 13723 PHIL LOYD 3.0 X X 0 0 0 ANN MCDOWELL 3.0 X 0 0 0 DENNIS NEWKIRK 3.0 X X 0 0 0 DAVID SMITH 3.0 X X 0 0 0 BOB SIMMONS 3.0 X X 0 0 0 JOHN ANGLUM 3.0 X 0 0 0 JAMES LEON COMBS 3.0 X 0 0 0 RAEANNE PRESLEY 3.0 X 0 0 0 JIM KANEASTER 3.0 X X 0 0 0 SCOTT ROSSOW 3.0 X 0 0 0 DR LYNN ALLISON 3.0 X 0 0 0 JAMES BERRY 3.0 X 0 0 0 ROBERT TYK 40.0 X 146921 0 1564 CORDEL MUSCH 40.0 X 0 0 0 KEN ROBINSON 40.0 X 0 0 0 JOAN PHILIPS 40.0 X 0 0 0 WILLIAM MAHONEY 40.0 X 0 0 0 DAVID STRONG 40.0 X 0 0 0 PETER MARCELLUS MD 40.0 X 213420 0 16219 NARIN ARUNAKUL 40.0 X 979260 0 20144 MITTIE M DRAGOSLJVICH 40.0 X 861427 0 20112 JOHN W HUFFMAN 40.0 X 520064 0 27239 CHRIS R REEVES 40.0 X 664322 0 27740 LAWRENCE PAGE DO 40.0 X 637521 27426 MICHAEL BAYS DO X 110752 0 0 STEPHEN M ERIXON X 336911 0 6071 5566048 0 208002 68 true true false CORNERSTONE PHYSICIANS PHYSICIANS 5262600 FTI HEALTHCARE CONSULTANTS 2056496 WHITE RIVER ANESTHESIA ASSOCIATION PHYSICIANS 1386954 COMPHEALTH ASSOCIATES INC PHYSICIANS 1313437 NUCLEAR DIAGNOSIS INC NUC MED STUDIES 1224987 31 219237 466887 686124 PATIENT SERVICES 900099 173182282 173182282 CAFETERIA 722210 690173 690173 GIFT SHOP 453220 177383 177383 MANAGEMENT FEES 561000 577148 577148 OTHER 900099 439019 418544 20475 175066005 451506 451506 0 0 916883 47826 869057 869057 869057 1560041 65096 1469866 59243 90175 5853 96028 96028 0 0 0 INSURANCE SETTLEMENT 524298 986 986 986 177169706 175045530 20475 1417577 1116682 1116682 29004 29004 0 0 1535061 1156937 378124 524720 70986 453734 52291364 46954867 5336497 1871113 1679855 191258 5777605 5172145 605460 3707505 3313918 393587 0 301404 301404 174510 575 173935 0 0 0 26952479 18557433 8395046 837067 20913 816154 4400910 2615988 1784922 0 0 4220736 3326869 893867 199143 165245 33898 0 308183 218795 89388 2267919 1967500 300419 0 9935105 8612719 1322386 2107889 1371306 736583 PROVISION FOR BAD DEBTS 29900317 29900317 DUES & SUBSCRIPTIONS 399085 156206 242879 RECRUITING & RETENTION 364398 6678 357720 MEDICAL SUPPLIES & DRUGS 23451757 23451757 MEDICAID EXPENSES 6933431 6933431 332882 329019 3863 179940269 157129145 22811124 0 416712 510618 17072017 15436026 16397601 18238415 80000 227667 107430 0 2063970 2208818 2759064 2373565 149089370 91774494 55383948 57314876 8355610 10375816 5731767 7015539 429857 278244 2227003 1540228 111024979 115519812 16642898 14653081 39510000 38345000 4769909 12762338 1050000 525000 61972807 66285419 X 43608179 42464831 5443993 6769562 49052172 49234393 111024979 115519812 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8962 8962 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. 2593225 2593225 59435633 35438607 23997026 10937518 2325742 8611776 67409297 50607881 16801416 8713697 3402264 5311433 57314876 BENEFICIAL INTEREST IN TRUST 6769562 C INV IN BRANSON ORTHO/NEURO CTR 211405 C INV IN EQUITY INVESTEE 34572 C 7015539 177169706 179940269 -2770563 1312630 1640154 2952784 182221 178172630 1312630 -357532 955098 177217532 -47826 -47826 177169706 179315978 47826 47826 179268152 672117 672117 179940269 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. OTHER CHANGES IN NET ASSETS SCHEDULE 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 ITEMS SCHEDULE 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 ITEMS SCHEDULE 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 true true true X true X true true true false true true 3282752 3282752 0.01820 22947023 20274951 2672072 0.01480 26229775 20274951 5954824 0.03300 182290 3860 178430 0.00100 189278 189278 0.00110 18597537 17034749 1562788 0.00870 1116682 1116682 0.00620 20085787 17038609 3047178 0.01700 46315562 37313560 9002002 0.05000 3875 3875 0.00000 11725 11725 0.00010 7950 7950 0.00000 23550 23550 0.00010 false 10572752 1585913 42949521 40348493 2601028 X false BRANSON ORTHONEURO MEDICAL BUILDING 0.66000 0.08000 0.26000 SKAGGS HEALTH SYSTEM MEDICAL SUPPORT 0.50000 0.00000 0.50000 SKAGGES COMMUNITY HEALTH CENTER

251 SKAGGS ROAD BRANSON MO 65616

X X X SKAGGS-COX HEALTH ALLIANCE LLC

1101 BRANSON HILLS PARKWAY BRANSON MO 65616

WAL-MART NURSE PRACTITIONER CLINIC SKAGGS OUTPATIENT CENTER

545 N BRANSON LANDING BLVD BRANSON MO 65616

OUTPATIENT DEPTS PHYSICIAN CLINICS MARY'S WELL HOUSE

5136 HWY 265 BRANSON MO 65616

PHYSICIAN CLINIC SKAGGS ORTHONEURO CENTER

101 CAHILL RD BRANSON MO 65616

OUTPATIENT DEPT PHYSICIAN CLINICS CASTLEROCK

1015 STATE HWY 248 BRANSON MO 65616

PHYSICIAN CLINICS BRANSON HEART CENTER

1150 HWY 248 BRANSON MO 65616

OUTPATIENT DEPTS PHYSICIAN CLINICS SKAGGS HOSPICE

611 S SIXTH ST BRANSON MO 65616

HOME HEALTH HOSPICE BUSINESS OFFICE PREMIER FAMILY MEDICINE

895 HWY 248 BRANSON MO 65616

PHYSICIAN CLINIC SKAGGS MEDICAL EAST

13852 ST HWY 160 FORSYTH MO 65653

PHYSICIAN CLINIC SKAGGS SOUTHSIDE CLINICS

590 BIRCH ST HOLLISTER MO 65672

PHYSICIAN CLINICS SKAGGS MEDICAL WEST

11863 ST HWY 13 KIMBERLING CITY MO 65686

PHYSICIAN CLINIC BRANSON WEST MEDICAL CAREREHAB

18452 ST HWY 13 BRANSON WEST MO 65737

OUTPATIENT DEPTS PHYSICIAN CLINICS STONE COUNTY PT DEPARTMENT

17565 ST HWY 13 REEDS SPRING MO 65737

OUTPATIENT DEPTS FITNESS CENTER

1500 BRANSON HILLS PKWY BRANSON MO 65616

FITNESS CENTER 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 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. THE 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. SKAGGS 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. SKAGGS 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". SKAGGS 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. SKAGGS 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. SKAGGS 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. MO true FAITH COMMUNITY HEALTH CENTER INC PO BOX 761 BRANSON MO 65615 943467834 501(C)(3) 625000 APPRAISAL BUILDING SUPPORT UNIVERSITY OF MISSOURI-COLUMBIA PO BOX 807012 KANSAS CITY MO 64180 436003859 501(C)(3) 12500 SUPPORT ST LOUIS REGIONAL DSH FUNDING AUTHORITY PO BOX 6766 JEFFERSON CITY MO 651026766 061642698 501(C)(3) 465493 SUPPORT 3 0 TUITION ASSISTANCE 18 29004 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE 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. X false true X X X X X true false false false false true false true false MICHAEL BAYS DO 0 0 0 110752 0 0 110752 0 STEPHEN M ERIXON 96350 0 0 240561 927 5144 342982 0 DAVID AFSHAR DO 250750 0 0 6251 15925 5401 278327 0 DIANE CORNELISON DO 560043 0 104255 2392 25766 672 693128 0 ROY JACK GILLISPIE MD 170581 0 0 1178 11275 2448 185482 0 PETER MARCELLUS MD 211915 0 0 1505 13771 2448 229639 0 NARIN ARUNAKUL 594511 0 55777 328972 16000 4144 999404 0 MITTIE M DRAGOSLJVICH 767262 0 0 94165 13392 6720 881539 0 JOHN W HUFFMAN 504679 0 0 15385 21643 5596 547303 0 CHRIS R REEVES 622354 0 0 41968 23596 4144 692062 0 LAWRENCE PAGE DO 633792 0 3729 23282 4144 664947 GROSS-UP PAYMENTS SCHEDULE J, PART I, LINE 1 ARUNAKUL, PAGE, DRAGOSLIJVIC, REEVES, AND BAYS RECEIVED GROSS-UP PAYMENTS ON FORGIVEN PRINCIPAL AND INTEREST. ALL AMOUNTS WERE TREATED AS TAXABLE WAGES. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION: ROBERT TYK $ 95,198 STEPHEN ERIXON 227,438 BONUSES SCHEDULE J, PART I, LINES 6A & 7 THE 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. THE INDUSTRIAL DEVELOPMENT AUTHORITY OF TANEY CO 431288274 87539NBQ8 2005-11-17 17635000 SEE SCHEDULE O. false false 18700518 1256476 0 0 0 0 17473101 2009 false false true true false true true false true 0.00000 0.00000 0.00000 true false false false true AIG MATCHED FUNDING 23.4 true true false DR LAWRENCE PAGE SIGNING BONUS X 50000 20000 false false true DR NARIN ARUNAKUL SIGNING BONUS X 50000 30000 false false true DR DRAGOSLIJVIC SIGNING BONUS X 25000 16667 false true true DR REEVES RETURN TO HOSP AREA X 200000 161000 false true true 227667 CONNIE MARCELLUS SPOUSE OF PETER MARCELLUS 40016 EMPLOYEE COMPENSATION false BETH GILLISPIE SISTR IN LAW OF GILLIPSIE 30970 EMPLOYEE COMPENSATION false SKAGGS HEALTH SYSTEM SEE SCHEDULE 0. 146008 PHO DUES & ADMIN FEES false ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 THE 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 #1 FORM 990, PART III, LINE 4A IN 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 MEMBERS FORM 990, PART VI, SECTION A, LINE 1B THREE 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 DUTIES FORM 990, PART VI, SECTION A, LINE 3 INTERIM 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 PERSONS FORM 990, PART VI, SECTION A, LINES 6 & 7A THE 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 990 FORM 990, PART VI, SECTION B, LINE 11A THE 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 POLICY FORM 990, PART VI, SECTION B, LINE 12C THE 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 REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE 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 DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. TAX EXEMPT BOND PURPOSE SCHEDULE K, PART I, LINE A THE 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 PERSONS SCHEDULE L, PART IV SKAGGS HEALTH SYSTEM AND SKAGGS COMMUNITY HOSPITAL SHARE COMMON BOARD MEMBERS, INCLUDING: GILLIPSIE, ANGLUM, COMBS, AND NEWKIRK. SKAGGS EMERGENCY PHYSICIANS PO BOX 650 BRANSON MO 65615 352275232 BILLING MO 0 0 BRANSON HEART CENTER PO BOX 650 BRANSON MO 65615 300497209 BILLING MO 0 0 SKAGGS OCCUPATIONAL HEALTH PO BOX 650 BRANSON MO 65615 383774737 BILLING MO 0 0 BRANSON FAMILY MEDICINE CLINIC PO BOX 650 BRANSON MO 65615 322331834 BILLING MO 0 0 SKAGGS MEDICAL SUPPLIES PO BOX 650 BRANSON MO 65615 320231590 BILLING MO 0 0 SKAGGS FOUNDATION PO BOX 650 BRANSON MO 65615 300107007 FUNDRAISING MO 501(C)(3) 11 A I BRANSON ORTHONEURO CENTER LLC 14-1952089 BRANSON MO 65616 141952089 MED BLDG MO RELATED 18400 3768236 false false true false true false false false false false true true true true true true false true false false BRANSON ORTHONEURO CENTER LLC A 16337 BRANSON ORTHONEURO CENTER LLC J 616752 SKAGGS FOUNDATION C 219237 SKAGGS FOUNDATION P 228686