MISSOURI DELTA MEDICAL CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- MISSOURI DELTA MEDICAL CENTER (EIN 43-0633449)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-17
- IRS object ID
- 202632299349302483
- Schema version
- 2024v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-17T14:58:18+00:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS MAZARS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200 PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430633449 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI DELTA MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MISS | BusinessNameControlTxt |
| Phone | 5734711600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1008 NORTH MAIN ST | AddressLine1Txt |
| City | SIKESTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 638015044 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON SCHRUMPF | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5734711600 | PhoneNum |
| Signature | 2026-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KRYSTAL CREACH | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2026-08-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON SCHRUMPF | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1008 NORTH MAIN ST | AddressLine1Txt |
| City | SIKESTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 638015044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $190,307,116 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MISSOURIDELTA.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | MISSOURI DELTA MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION WHICH STRIVES TO PROVIDE A COMPLETE HEALTH CARE SYSTEM TO RESIDENTS IN THE SERVICE AREA EITHER DIRECTLY OR IN COOPERATION WITH OTHERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 1181 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,246,095 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,003,885 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $131,660,772 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $185,180,686 | CYProgramServiceRevenueAmt |
| PY Investment Income | $822,233 | PYInvestmentIncomeAmt |
| CY Investment Income | $737,811 | CYInvestmentIncomeAmt |
| PY Other Revenue | $26,888,238 | PYOtherRevenueAmt |
| CY Other Revenue | $671,218 | CYOtherRevenueAmt |
| PY Total Revenue | $160,617,338 | PYTotalRevenueAmt |
| CY Total Revenue | $188,593,600 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $36,071 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $83,520,972 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $91,765,480 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $79,779,223 | PYOtherExpensesAmt |
| CY Other Expenses | $100,024,356 | CYOtherExpensesAmt |
| PY Total Expenses | $163,305,195 | PYTotalExpensesAmt |
| CY Total Expenses | $191,825,907 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,687,857 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,232,307 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $98,009,230 | TotalAssetsBOYAmt |
| Total Assets EOY | $99,400,469 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,562,869 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,810,964 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $54,446,361 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,589,505 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MISSOURI DELTA MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION WHICH WILL STRIVE TO PROVIDE A COMPLETE HEALTH CARE SYSTEM TO RESIDENTS IN THE SERVICE AREA EITHER DIRECTLY OR IN COOPERATION WITH OTHERS. REFERRAL AGREEMENTS WILL BE SOUGHT FOR SERVICES NOT OFFERED LOCALLY. THE HOSPITAL WILL ALSO ACTIVELY OFFER OR SUPPORT APPROPRIATE PROGRAMS TO PROMOTE THE GENERAL HEALTH, AND TO MEET THE REHABILITATION, EDUCATIONAL AND SOCIAL NEEDS OF OUR SERVICE AREA. SERVICES WILL BE PROVIDED TO ALL RESIDENTS OF OUR SERVICE AREA REGARDLESS OF RACE, COLOR, RELIGION, SEX, AGE, NATIONAL ORIGIN, OR DISABILITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $153,138,926 | ExpenseAmt |
| Grant | $36,071 | GrantAmt |
| Revenue | $185,180,686 | RevenueAmt |
| Desc | MISSOURI DELTA MEDICAL CENTER PROVIDES QUALITY MEDICAL CARE TO THE RESIDENTS OF ITS COMMUNITY REGARDLESS OF ABILITY TO PAY. MDMC ALSO PROVIDES SHORT TERM REHABILITATION SERVICES THROUGH AN ACUTE IP REHABILITATION UNIT AND PSYCHIATRIC SERVICES THROUGH AN ACUTE IP GERIATRIC PSYCHIATRIC UNIT AND AN ADOLESCENT PSYCHIATRIC UNIT. THESE SERVICES ARE SUMMARIZED AS FOLLOWS: HOSPITAL: - ACUTE INPATIENT ADMISSIONS 3,125 - ACUTE INPATIENT DAYS 13,389 - GERIATRIC PSYCH INPATIENT ADMISSIONS 300 - GERIATRIC PSYCH INPATIENT DAYS 3,244 - REHAB INPATIENT ADMISSIONS 154 - REHAB INPATIENT DAYS 1,291 - ADOLESCENT PSYCH INPATIENT ADMISSIONS 253 - ADOLESCENT PSYCH INPATIENT DAYS 1,212 - EMERGENCY ROOM VISITS 21,483 - LABORATORY TESTS PERFORMED 449,029 - RADIOLOGY EXAMS PERFORMED 58,313 - PT, OT, ST TREATMENTS 112,629 - PHYSICIAN OFFICE VISITS 87,174 - RURAL HEALTH CLINIC VISITS 104,905 THE HOSPITAL PROVIDED FREE CARE TO INDIGENT PATIENTS IN THE AMOUNT OF $625,757 VALUED AT BILLED CHARGES. THE HOSPITAL ALSO PROVIDED NUMEROUS FREE PROGRAMS AND REDUCED PRICE SERVICES THROUGHOUT THE YEAR THAT THE HOSPITAL BELIEVES SERVES A COMMUNITY NEED. SERVICES PROVIDED FREE OF CHARGE OR BELOW COST TO THE GENERAL PUBLIC INCLUDE: 1. PERIODIC BLOOD PRESSURE AND CHOLESTEROL SCREENINGS 2. OUTPATIENT DIABETIC EDUCATION AND OTHER HEALTH EDUCATION CLASSES 3. CHILDBIRTH CLASSES, FIRST AID CLASSES AND CPR COURSES 4. RED CROSS BLOOD DRIVES 5. HEALTH EDUCATION ARTICLES IN THE LOCAL NEWSPAPER 6. FREE SKIN CANCER SCREENINGS | Desc |
| Total Program Service Expenses | $153,138,926 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 192 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1181 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROLYN GARNER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5734727604 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1008 NORTH MAIN STREET | AddressLine1Txt |
| City | SIKESTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 638015044 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DANIEL DEKE LAPE | |||||||||
| TREASURER | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOEL PATRICK EVANS | |||||||||
| VICE CHAIRMAN | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MATT TANNER | |||||||||
| CHAIRMAN | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW DRAKE | |||||||||
| SECRETARY | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BART GRANT | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| BRETT MATTHEWS | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN MENZ | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| BRITT MCCONNELL | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES DAN JENNINGS | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID JONES | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| DWIGHT BIZZELL | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD DEMENT | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH JOHNSON | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN BOLLINGER | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| LEVIN COX | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL JONES | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| MIKE MARSHALL | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA FIELDS | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| TAMMY BURCH | |||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| CAROLYN GARNER | |||||||||
| VP OF FINANCE BEG 09/25 | 40.0 | 1.0 | Yes (X) | $154,271 | $0 | $8,336 | |||
| GREG CARDA | |||||||||
| VP OF FINANCE END 09/25 | 40.0 | 1.0 | Yes (X) | $231,482 | $0 | $20,597 | |||
| JAMES HENSON | |||||||||
| SENIOR VICE PRESIDENT | 40.0 | 0 | Yes (X) | $269,953 | $0 | $18,558 | |||
| JASON SCHRUMPF | |||||||||
| PRESIDENT/CEO | 40.0 | 1.0 | Yes (X) | $482,444 | $0 | $18,336 | |||
| JULIE FRAZER | |||||||||
| VP OF NURSING | 40.0 | 0 | $234,542 | $0 | $17,971 | Yes (X) | |||
| ANIMESH SAHAI | |||||||||
| PHYSICIAN | 40.0 | 0 | $974,951 | $0 | $16,099 | Yes (X) | |||
| BRANDON COVERT | |||||||||
| PHYSICIAN | 40.0 | 0 | $1,696,281 | $0 | $11,431 | Yes (X) | |||
| JACOB RANDICH | |||||||||
| PHYSICIAN | 40.0 | 0 | $799,769 | $0 | $17,069 | Yes (X) | |||
| KENNETH MOY | |||||||||
| PHYSICIAN | 40.0 | 0 | $859,415 | $0 | $18,387 | Yes (X) | |||
| RUDY RODRIGUEZ | |||||||||
| PHYSICIAN | 40.0 | 0 | $1,312,479 | $0 | $13,825 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,015,587 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $160,609 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 116 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| RESOURCE ANESTHESIOLOGY ASSOC | ||||||
| 450 MAMARONECK AVENUE | HARRISON | NY | 11528 | ANESTHESIA COVERAGE | $3,229,380 | |
| MORRISON HEALTHCARE | ||||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | DIETARY SERVICES | $1,975,110 | |
| MEDICAL SOLUTIONS LLC | ||||||
| 1010 NORTH 102ND ST | OMAHA | NE | 68114 | CONTRACTED NURSES | $1,894,136 | SUITE 300 |
| LOGAN & SEILER INC | ||||||
| 406 S MAIN ST | CHARLESTON | MO | 63834 | PHARMACY SERVICES | $1,224,952 | |
| HAWTHORN PHYSICIAN SVS CORP | ||||||
| 10820 SUNSET OFFICE DR | ST LOUIS | MO | 63127 | PRO FEE BILLING | $857,533 | 300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,496,516 | RelatedOrganizationsAmt |
| Government Grants | $507,369 | GovernmentGrantsAmt |
| Total Contributions | $2,003,885 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $129,973,004 | $129,973,004 |
| PHARMACY REVENUE | 456110 | $53,721,230 | $53,721,230 |
| OTHER REVENUE | 900099 | $839,988 | $839,988 |
| CAFETERIA | 722514 | $646,464 | $646,464 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $185,180,686 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,499 | TotalRevenueColumnAmt |
| Exclusion | $90,499 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $780,396 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $109,178 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $671,218 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $671,218 | TotalRevenueColumnAmt |
| Exclusion | $671,218 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,200,000 | SecuritiesAmt |
| Other | $1,051,650 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,113,214 | SecuritiesAmt |
| Other | $491,124 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $86,786 | SecuritiesAmt |
| Other | $560,526 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $647,312 | TotalRevenueColumnAmt |
| Exclusion | $647,312 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,593,600 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $185,180,686 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,409,029 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,071 | TotalAmt |
| Program Services | $11,071 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Program Services | $25,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,456,490 | TotalAmt |
| Program Services | $252,513 | ProgramServicesAmt |
| Management And General | $1,203,977 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $678,026 | TotalAmt |
| Program Services | $601,515 | ProgramServicesAmt |
| Management And General | $76,511 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,552,973 | TotalAmt |
| Program Services | $59,326,831 | ProgramServicesAmt |
| Management And General | $12,226,142 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $965,389 | TotalAmt |
| Program Services | $806,552 | ProgramServicesAmt |
| Management And General | $158,837 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,666,994 | TotalAmt |
| Program Services | $12,017,154 | ProgramServicesAmt |
| Management And General | $2,649,840 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,445,608 | TotalAmt |
| Program Services | $1,999,014 | ProgramServicesAmt |
| Management And General | $446,594 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,633 | TotalAmt |
| Management And General | $32,633 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,821 | TotalAmt |
| Management And General | $301,821 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,024 | TotalAmt |
| Management And General | $14,024 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,445,572 | TotalAmt |
| Program Services | $15,731,411 | ProgramServicesAmt |
| Management And General | $6,714,161 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,228 | TotalAmt |
| Program Services | $575 | ProgramServicesAmt |
| Management And General | $68,653 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,700,929 | TotalAmt |
| Program Services | $1,895,071 | ProgramServicesAmt |
| Management And General | $1,805,858 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,464 | TotalAmt |
| Program Services | $20,765 | ProgramServicesAmt |
| Management And General | $543,699 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,123,960 | TotalAmt |
| Program Services | $1,392,927 | ProgramServicesAmt |
| Management And General | $731,033 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,628 | TotalAmt |
| Program Services | $263,082 | ProgramServicesAmt |
| Management And General | $53,546 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,053 | TotalAmt |
| Program Services | $59,627 | ProgramServicesAmt |
| Management And General | $20,426 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,984 | TotalAmt |
| Program Services | $8,217 | ProgramServicesAmt |
| Management And General | $533,767 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,476,801 | TotalAmt |
| Program Services | $47,198 | ProgramServicesAmt |
| Management And General | $5,429,603 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,958,614 | TotalAmt |
| Management And General | $1,958,614 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $52,756,960 | $52,756,960 | |
| STATE PROVIDER TAX | $3,845,142 | $3,845,142 | |
| REPAIRS & MAINTENANCE | $3,182,729 | $1,854,754 | $1,327,975 |
| LICENSES, DUES, SUBSCRIPTIONS | $2,255,827 | $223,547 | $2,032,280 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,987 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $356,987 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,825,907 | TotalAmt |
| Program Services | $153,138,926 | ProgramServicesAmt |
| Management And General | $38,686,981 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,900,830 | BOYAmt |
| EOY | $314,744 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,366,437 | BOYAmt |
| EOY | $5,145,587 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $389,270 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,588,288 | BOYAmt |
| EOY | $19,744,150 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $467,696 | BOYAmt |
| EOY | $858,868 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,347,520 | BOYAmt |
| EOY | $4,234,681 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,964,630 | BOYAmt |
| EOY | $1,730,277 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $153,812,010 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $99,374,586 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,740,262 | BOYAmt |
| EOY | $54,437,424 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,406,673 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,000 | BOYAmt |
| EOY | $600,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,567 | BOYAmt |
| EOY | $9,538,795 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,009,230 | BOYAmt |
| EOY | $99,400,469 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,210,279 | BOYAmt |
| EOY | $12,905,477 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,249,115 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,522,259 | BOYAmt |
| EOY | $12,694,986 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,591,271 | BOYAmt |
| EOY | $735,366 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,989,945 | BOYAmt |
| EOY | $19,475,135 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,562,869 | BOYAmt |
| EOY | $45,810,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,446,361 | BOYAmt |
| EOY | $52,024,725 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,564,780 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,446,361 | BOYAmt |
| EOY | $53,589,505 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,009,230 | BOYAmt |
| EOY | $99,400,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,232,307 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $143,370 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $2,232,081 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $12,006 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,006 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID DUES TO THE MISSOURI HOSPITAL ASSOCIATION DURING THE FISCAL YEAR. THE MISSOURI HOSPITAL ASSOCIATION ESTIMATES THAT THE NONDEDUCTIBLE PORTION OF 2025 DUES (THE PORTION WHICH IS ALLOCABLE TO LOBBYING) IS 28.8 PERCENT OF $41,686. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,855,294 | BeginningYearBalanceAmt |
| Contributions | $2,890 | ContributionsAmt |
| Investment Earnings Or Losses | $73,317 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $105,850 | OtherExpendituresAmt |
| End Year Balance | $3,825,651 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,108,107 | BeginningYearBalanceAmt |
| Contributions | $15,119 | ContributionsAmt |
| Investment Earnings Or Losses | $746,996 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,928 | OtherExpendituresAmt |
| End Year Balance | $3,855,294 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,777,339 | BeginningYearBalanceAmt |
| Contributions | $32,960 | ContributionsAmt |
| Investment Earnings Or Losses | $328,592 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $30,784 | OtherExpendituresAmt |
| End Year Balance | $3,108,107 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,432,422 | BeginningYearBalanceAmt |
| Contributions | $73,098 | ContributionsAmt |
| Investment Earnings Or Losses | -$632,763 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $95,418 | OtherExpendituresAmt |
| End Year Balance | $2,777,339 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,942,998 | BeginningYearBalanceAmt |
| Contributions | $101,446 | ContributionsAmt |
| Investment Earnings Or Losses | $477,149 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $89,171 | OtherExpendituresAmt |
| End Year Balance | $3,432,422 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,018,099 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $834,408 | OtherCostOrOtherBasisAmt |
| Book Value | $8,852,507 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,987,509 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,501,830 | DepreciationAmt |
| Book Value | $30,485,679 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,351,718 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,814,647 | DepreciationAmt |
| Book Value | $13,537,071 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,620,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,058,109 | DepreciationAmt |
| Book Value | $1,562,167 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $54,437,424 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $6,202,657 |
| DUE FROM THIRD PARTY | $1,582,087 |
| PROFESSIONAL ASSET | $949,282 |
| ROU ASSET | $804,769 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,538,795 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| FEDERAL INCOME TAXES | |
| DUE TO THIRD PARTY | $15,342,957 |
| ESTIMATED SELF- INSURANCE COSTS | $2,332,794 |
| PROFESSIONAL LIABILITY | $949,282 |
| LEASE LIABILITIES | $795,003 |
| INTEREST PAYABLE | $38,065 |
| OTHER LIABILITIES | $17,034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,475,135 | TotalLiabilityAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS | THE ORGANIZATION INTENDS TO USE ITS ENDOWMENT FUNDS TO HELP FUND MEDICAL AND/OR NURSING SCHOLARSHIPS, MEDICAL EQUIPMENT, AND CONSTRUCTION PROJECTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $201,056 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $201,056 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00105 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,883,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,562,947 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $320,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00167 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $25,084,124 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,562,947 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $521,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00272 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00013 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,164,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,816,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,347,886 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07480 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $39,189,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,816,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,372,886 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07493 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $64,273,744 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,379,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,894,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07764 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,856,520 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,683,626 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $29,166,788 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $31,650,971 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,484,183 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI DELTA MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1008 NORTH MAIN ST | AddressLine1Txt |
| City | SIKESTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 638015044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MISSOURIDELTA.COM | WebsiteAddressTxt |
| State License | 100-68 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI DELTA MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 25 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.MISSOURIDELTA.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 25 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.MISSOURIDELTA.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.MISSOURIDELTA.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.MISSOURIDELTA.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MISSOURIDELTA.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 | FACILITY , 1 - MISSOURI DELTA MEDICAL CENTER. THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH COMMUNITY SURVEYS AND FOCUS GROUPS CONDUCTED AS PART OF THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). FOCUS GROUP PARTICIPANTS INCLUDED HEALTHCARE PROVIDERS, PUBLIC HEALTH OFFICIALS, BEHAVIORAL HEALTH PROFESSIONALS, EDUCATORS, COMMUNITY SERVICE ORGANIZATIONS, AND OTHER COMMUNITY STAKEHOLDERS. THE SCOTT COUNTY CHNA WAS CONDUCTED IN PARTNERSHIP WITH SAINT FRANCIS MEDICAL CENTER, WHICH FACILITATED THE SCOTT COUNTY FOCUS GROUP. COMMUNITY INPUT WAS USED, ALONG WITH SECONDARY PUBLIC HEALTH DATA, TO IDENTIFY AND PRIORITIZE SIGNIFICANT COMMUNITY HEALTH NEEDS. PERSONS AND ORGANIZATIONS CONSULTED: - EXECUTIVE DIRECTOR, NEW MADRID COUNTY FAMILY RESOURCE CENTER - REGIONAL COORDINATOR, LINCOLN UNIVERSITY EXTENSION - ASSISTANT DIRECTOR, DAEOC CHILDREN'S SERVICES - CPRP DIRECTOR, BOOTHEEL BEHAVIORAL HEALTH - PLANNER, NEW MADRID COUNTY HEALTH DEPARTMENT - CLINIC MANAGER, NEW MADRID & CHARLESTON MISSOURI DELTA MEDICAL CLINICS - CLINICAL DIRECTOR, BOOTHEEL BEHAVIORAL HEALTH - PLANNER, MISSISSIPPI COUNTY HEALTH DEPARTMENT - LEAD DISTRICT NURSE, CHARLESTON R-1 SCHOOLS - REPRESENTATIVE, SUSANNA WESLEY FAMILY LEARNING CENTER - PHARMACIST, L & S PHARMACY - PHARMACIST & OWNER, L & S PHARMACY - FAMILY NURSE PRACTITIONER, CHARLESTON COMMUNITY CARE CENTER - SAINT FRANCIS MEDICAL CENTER, WHICH PARTNERED WITH MISSOURI DELTA MEDICAL CENTER AND FACILITATED THE SCOTT COUNTY FOCUS GROUP. |
| SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 | FACILITY , 1 - MISSOURI DELTA MEDICAL CENTER. MISSOURI DELTA MEDICAL CENTER CONDUCTED THE SCOTT COUNTY PORTION OF ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH SAINT FRANCIS MEDICAL CENTER. THE SCOTT COUNTY FOCUS GROUP SESSION WAS FACILITATED BY SAINT FRANCIS MEDICAL CENTER. THE NEW MADRID COUNTY AND MISSISSIPPI COUNTY CHNAS WERE CONDUCTED INDEPENDENTLY BY MISSOURI DELTA MEDICAL CENTER. |
| SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 | FACILITY , 1 - MISSOURI DELTA MEDICAL CENTER. MISSOURI DELTA MEDICAL CENTER'S IMPLEMENTATION STRATEGY IDENTIFIES PRIORITY NEEDS INCLUDING CHRONIC DISEASE, AFFORDABLE MEDICATIONS, LACK OF INSURANCE, LACK OF CARDIOLOGY SERVICES, COUNSELING SERVICES, SUBSTANCE ABUSE TREATMENT FACILITIES, LACK OF PUBLIC TRANSPORTATION, INSUFFICIENT HEALTH EDUCATION, AND ECONOMIC HARDSHIP. PLANNED RESPONSES INCLUDE CHRONIC DISEASE EDUCATION, REMOTE PATIENT MONITORING, POPULATION HEALTH ACTIVITIES, TOBACCO SCREENING AND CESSATION, EDUCATION ON HEART FAILURE SYMPTOMS, LUNG NODULE / EARLY LUNG CANCER DIAGNOSIS ACCESS, EXPANDED COLORECTAL SCREENING, AND COMMUNITY HEALTH EDUCATION ACTIVITIES. THE STRATEGY ALSO ADDRESSES MEDICATION AFFORDABILITY THROUGH CONTINUATION AND EXPANSION OF THE 340B PROGRAM, CONTINUED CPESN MEMBERSHIP, AND EDUCATION ON LONGER PRESCRIPTION FILLS. LACK OF INSURANCE IS ADDRESSED THROUGH EDUCATION ON MEDICAID RENEWAL, ENROLLMENT EDUCATION, AND ADVOCACY. CARDIOLOGY ACCESS IS ADDRESSED THROUGH PLANS FOR CARDIAC CATHETERIZATION CAPACITY AND RECRUITMENT OF AN INTERVENTIONAL CARDIOLOGIST. BEHAVIORAL HEALTH NEEDS ARE ADDRESSED THROUGH RECRUITING AND COMMUNITY EDUCATION REGARDING PROVIDERS ACCEPTING NEW PATIENTS, SOCIAL WORKER BRIEF INTERVENTIONS, PARTICIPATION IN COMMUNITY MEETINGS, AND PARTNERSHIPS WITH OTHER ENTITIES. SUBSTANCE ABUSE NEEDS ARE ADDRESSED THROUGH RESEARCH INTO A SHORT ACUTE-CARE INPATIENT DETOX PROGRAM AND CONTINUED PARTNERSHIPS WITH GIBSON CENTER, TEEN CHALLENGE, AND HOPE CENTER. SOCIAL DETERMINANTS AND COMMUNITY NEEDS ARE ADDRESSED THROUGH INPATIENT AND OUTPATIENT ASSESSMENTS, PLAIN-LANGUAGE EDUCATION, TRANSPORTATION SAFE-HARBOR RESEARCH, TELEMEDICINE RESEARCH, AND EFFORTS TO ENSURE AWARENESS OF CHARITY CARE AND SLIDING-FEE OPTIONS. |
| SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 | FACILITY , 1 - MISSOURI DELTA MEDICAL CENTER. IN ADDITION TO FPG-BASED ELIGIBILITY, THE POLICY PROVIDES FOR CASE-BY-CASE DISCOUNTS FOR CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, INCLUDING A MEDICAL INDIGENCE STANDARD BASED ON TOTAL MEDICAL BILLS RELATIVE TO FAMILY GROSS INCOME. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 40 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| MISSOURI DELTA DERMATOLOGY | ||||
| 1015 NORTH MAIN | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| FAMILY MEDICINE | ||||
| 1017 NORTH MAIN | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA PULMONOLOGY | ||||
| 1019 NORTH MAIN STREET | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| BARTON-JOLLY PHYSICIAN SERVICES | ||||
| 1019 NORTH MAIN STREET | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA GASTROENTEROLOGY - CAPE | ||||
| 23 DOCTORS PARK DRIVE | CAPE GIRARDEAU | MO | 63703 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA GASTROENTEROLOGY - SIKESTON | ||||
| 1106 NORTH MAIN STREET | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA ENDOCRINE & DIABETES CENTER | ||||
| 1118 NORTH MAIN STREET | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA CANCER & INFUSION CENTER | ||||
| 1126 NORTH MAIN STREET | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA PALLIATIVE CARE | ||||
| 1126 NORTH MAIN STREET | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA UROLOGY | ||||
| 125 PLAZA DRIVE | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA SURGICAL SERVICES | ||||
| 125 PLAZA DRIVE | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA NEUROLOGY | ||||
| 135 PLAZA DRIVE SUITE 102 | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA RHEUMATOLOGY | ||||
| 135 PLAZA DRIVE SUITE 102 | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| WELLPOINT PAIN CENTER | ||||
| 135 PLAZA DRIVE SUITE 201 | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA CHIROPRACTIC | ||||
| 135 PLAZA DRIVE SUITE 201 | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| AUDIOLOGY | ||||
| 135 PLAZA DRIVE SUITE 202 | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| ENT & ALLERGY CLINIC | ||||
| 135 PLAZA DRIVE SUITE 202 | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA ORTHOPEDICS | ||||
| 201 PLAZA DRIVE SUITE A | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA WOUND & HYPERBARIC CENTER | ||||
| 201 PLAZA DRIVE SUITE B | SIKESTON | MO | 63801 | WOUND CARE CENTER |
| CARDIOLOGY CLINIC | ||||
| 201 PLAZA DRIVE SUITE C | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA PODIATRY | ||||
| 203 PLAZA DRIVE | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| MISSOURI DELTA OCCUPATIONAL MEDICINE | ||||
| 203 PLAZA DRIVE | SIKESTON | MO | 63801 | PHYSICIAN OFFICE BUILDING |
| RESTART REHABILITATION SERVICES - SIKESTON | ||||
| 203 PLAZA DRIVE | SIKESTON | MO | 63801 | PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY |
| RESTART OF CHARLESTON | ||||
| 512 EAST MARSHALL STREET | CHARLESTON | MO | 63834 | PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY |
| RESTART OF NEW MADRID | ||||
| 406 HIGHWAY 61 | NEW MADRID | MO | 63869 | PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY |
| RESTART OF EAST PRAIRIE | ||||
| 106 SOUTH WASHINGTON | EAST PRAIRIE | MO | 63845 | PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY |
| CHARLESTON COMMUNITY CARE CENTER | ||||
| 1403 EAST MARSHALL STREET | CHARLESTON | MO | 63834 | RURAL HEALTH CLINIC |
| EXPRESS CARE | ||||
| 1008 NORTH MAIN STREET | SIKESTON | MO | 638015044 | RURAL HEALTH CLINIC |
| WOMEN'S CARE CENTER | ||||
| 1013 NORTH MAIN STREET | SIKESTON | MO | 63801 | RURAL HEALTH CLINIC |
| MISSOURI DELTA PRIMARY CARE | ||||
| 102 HOSPITALITY DRIVE | SIKESTON | MO | 63801 | RURAL HEALTH CLINIC |
| SMITH STREET CLINIC | ||||
| 123 SMITH STREET | SIKESTON | MO | 63801 | RURAL HEALTH CLINIC |
| PORTAGEVILLE COMMUNITY CARE CENTER | ||||
| 204 EAST 3RD STREET | PORTAGEVILLE | MO | 63873 | RURAL HEALTH CLINIC |
| NEW MADRID COMMUNITY CARE CENTER | ||||
| 615 MAIN STREET | NEW MADRID | MO | 63869 | RURAL HEALTH CLINIC |
| DEXTER COMMUNITY CARE CENTER | ||||
| 911 B WEST BUSINESS HWY 60 | DEXTER | MO | 63841 | RURAL HEALTH CLINIC |
| BENTON COMMUNITY CARE CENTER | ||||
| 6468 STATE HWY 77 | BENTON | MO | 63736 | RURAL HEALTH CLINIC |
| CHAFFEE MEDICAL CENTER | ||||
| 209 WEST YOAKUM | CHAFFEE | MO | 63740 | RURAL HEALTH CLINIC |
| MALDEN PRIMARY CARE | ||||
| 412 BROADWATER ROAD | MALDEN | MO | 63863 | RURAL HEALTH CLINIC |
| CARUTHERSVILLE MEDICAL CLINIC | ||||
| 106 W 12TH STREET | CARUTHERSVILLE | MO | 63830 | RURAL HEALTH CLINIC |
| NEPHROLOGY | ||||
| 1008 NORTH MAIN STREET | SIKESTON | MO | 638015044 | TELEMEDICINE |
| MEDX MEDICAL EQUIPMENT | ||||
| 708 N MAIN STREET | SIKESTON | MO | 63801 | DURABLE MEDICAL EQUIPMENT |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7F PERCENT OF TOTAL EXPENSE | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR IS EQUAL TO TOTAL EXPENSES PER PART IX, LINE 25, OF FORM 990. |
| SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES | AMOUNTS USED IN THE CALCULATION OF SUBSIDIZED HEALTH SERVICES REPORTED ON SCHEDULE H, PART I, LINE 7G PRIMARILY RELATE TO COSTS ASSOCIATED WITH MISSOURI DELTA MEDICAL CENTER'S SUBSIDIZED SERVICE PROGRAMS, INCLUDING RURAL HEALTH CENTERS, PROVIDER-BASED CENTERS, AND LABOR AND DELIVERY. THESE PROGRAMS ARE REPORTED AT COST AND REDUCED BY DIRECT OFFSETTING REVENUE TO DETERMINE THE NET COMMUNITY BENEFIT EXPENSE FOR EACH PROGRAM. MISSOURI DELTA MEDICAL CENTER CONTINUES TO PROVIDE THESE SERVICES AS A COMMUNITY BENEFIT DESPITE EXPECTED FINANCIAL SHORTFALLS AND BECAUSE ACCESS TO QUALITY MEDICAL CARE MAY OTHERWISE BE LIMITED IN THE COMMUNITIES SERVED. |
| SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE | THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION ON IRS WORKSHEETS 1 AND 3. |
| SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT | THE CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS, PATIENTS, AND OTHERS. THE CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CENTER BILLS THIRD PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. |
| SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY | THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 BY UTILIZING DATA FROM THE U.S. CENSUS BUREAU. THE ORGANIZATION ESTIMATED THE PERCENTAGE BY OBTAINING THE PERCENT OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. |
| SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE | THE ORGANIZATION'S FINANCIAL STATEMENT FOOTNOTE STATES THAT SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE OR PHARMACY REVENUE, AS APPLICABLE, IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS | IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS INDICATES THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. THE AMOUNT REPORTED ON LINE 6 IS ESTIMATED USING A COST METHODOLOGY BASED ON THE PERCENTAGE OF OPERATING EXPENSES TO PATIENT REVENUE. |
| SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE | THE BAD DEBT POLICY STATES THAT IF IT IS DETERMINED THAT A PATIENT IS INDIGENT, PROCEED AS FOLLOWS: A. COMPLETE ACCOUNT ADJUSTMENT FORMS FOLLOWING ACCOUNT ADJUSTMENT PROCEDURES OR NOTE THE BALANCE WILL BE WRITTEN OFF AS CHARITY ACCORDING TO THE CHARITY CARE POLICY. B. ENTER THE FOLLOWING NOTATIONS ON THE COPY OF THE PATIENT ACCOUNTS ADMISSION REGISTRATION FORMS OR IN ACCOUNTS RECEIVABLE NOTES IN THE COMPUTER: "CHARGES DUE BY PATIENT WILL BE WRITTEN OFF AS MEDICARE BAD DEBT OR UNCOMPENSATED CARE." |
| SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE | - MISSOURI DELTA MEDICAL CENTER: LINE 16A URL: HTTPS://WWW.MISSOURIDELTA.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; |
| SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE | - MISSOURI DELTA MEDICAL CENTER: LINE 16B URL: HTTPS://WWW.MISSOURIDELTA.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; |
| SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE | - MISSOURI DELTA MEDICAL CENTER: LINE 16C URL: HTTPS://WWW.MISSOURIDELTA.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; |
| SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT | MISSOURI DELTA MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THAT INCORPORATES INPUT FROM LOCAL RESIDENTS, COMMUNITY ORGANIZATIONS, PUBLIC HEALTH AGENCIES, HEALTHCARE PROVIDERS, AND OTHER COMMUNITY STAKEHOLDERS. COMMUNITY INPUT IS GATHERED THROUGH SURVEYS, FOCUS GROUPS, AND OTHER OUTREACH EFFORTS TO IDENTIFY THE HEALTH PRIORITIES AND CHALLENGES OF THE SERVICE AREA. THE ORGANIZATION EVALUATES HEALTH NEEDS ACROSS ITS THREE-COUNTY SERVICE AREA BY REVIEWING BOTH PRIMARY AND SECONDARY DATA, INCLUDING COMMUNITY FEEDBACK, DEMOGRAPHIC INFORMATION, HEALTH OUTCOMES, ACCESS TO CARE, CHRONIC DISEASE PREVALENCE, AND SOCIAL DETERMINANTS OF HEALTH SUCH AS EDUCATION, INCOME, POVERTY, EMPLOYMENT, FOOD INSECURITY, AND TRANSPORTATION. THE ASSESSMENT ALSO IDENTIFIES BARRIERS TO CARE, INCLUDING PROVIDER SHORTAGES, LIMITED ACCESS TO SPECIALTY AND BEHAVIORAL HEALTH SERVICES, TRANSPORTATION CHALLENGES, AND COST-RELATED OBSTACLES. THE ORGANIZATION REVIEWS AVAILABLE COMMUNITY RESOURCES AND PARTNERSHIPS TO ADDRESS IDENTIFIED NEEDS AND USES THE RESULTS OF THE CHNA TO DEVELOP PRIORITIES AND IMPLEMENTATION STRATEGIES DESIGNED TO IMPROVE COMMUNITY HEALTH. MISSOURI DELTA MEDICAL CENTER CONTINUES TO WORK COLLABORATIVELY WITH OTHER HEALTHCARE PROVIDERS, PUBLIC HEALTH ORGANIZATIONS, AND COMMUNITY PARTNERS TO ADDRESS IDENTIFIED HEALTH NEEDS THROUGHOUT THE COMMUNITIES IT SERVES. |
| SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | MISSOURI DELTA MEDICAL CENTER INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR CARE ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE AND OTHER AVAILABLE SUPPORT THROUGH ITS WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE MATERIALS, INCLUDING A PLAINLANGUAGE SUMMARY AND RELATED APPLICATION INFORMATION MADE AVAILABLE ON THE HOSPITAL'S WEBSITE. THE FINANCIAL ASSISTANCE MATERIALS EXPLAIN HOW TO OBTAIN AND SUBMIT APPLICATION FORMS, INCLUDING OBTAINING FORMS FROM THE FINANCIAL COUNSELORS OFFICE, MISSOURI DELTA CLINICS, RURAL HEALTH CLINIC RECEPTION DESKS, PATIENT FINANCIAL SERVICES, OR PRINTING FORMS FROM PROVIDED LINKS. THE MATERIALS PROVIDE A CONTACT POINT FOR QUESTIONS AND ASSISTANCE THROUGH PATIENT FINANCIAL SERVICES. THE CHARITY CARE POLICY FURTHER DESCRIBES PATIENT EDUCATION AND OUTREACH BY REQUIRING DISSEMINATION OF NOTICES ABOUT CHARITY PROGRAMS (INCLUDING A CONTACT NUMBER), INCLUDING NOTICES ON PATIENT STATEMENTS, POSTINGS IN ADMITTING/REGISTRATION DEPARTMENTS AND THE BUSINESS OFFICE AND OTHER PUBLIC PLACES, WEBSITE PUBLICATION, AND BROCHURES AVAILABLE IN PATIENT ACCESS SITES AND OTHER COMMUNITY LOCATIONS. PATIENTS MAY BE REFERRED FOR CHARITY ASSISTANCE BY HOSPITAL STAFF OR MEDICAL STAFF, AND ASSISTANCE MAY ALSO BE REQUESTED BY THE PATIENT OR BY A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE, SUBJECT TO PRIVACY LAWS. THE CHARITY CARE POLICY STATES THAT THE HOSPITAL USES REASONABLE EFFORTS TO EXPLORE ALTERNATIVE PAYMENT AND COVERAGE SOURCES AND ASSIST PATIENTS IN APPLYING FOR AVAILABLE PUBLIC OR PRIVATE PROGRAMS. IN ADDITION, THE FINANCIAL ASSISTANCE AND CHARITY CARE MATERIALS INDICATE THAT THE HOSPITAL MAY PROVIDE ASSISTANCE THROUGH PRESUMPTIVE ELIGIBILITY INDICATORS (INCLUDING CIRCUMSTANCES SUCH AS HOMELESSNESS AND RECEIPT OF BENEFITS SUCH AS WIC OR FOOD STAMPS, OTHER ASSISTANCE, OR SUBSIDIZED HOUSING) EVEN WHEN NO APPLICATION IS SUBMITTED. THE FINANCIAL ASSISTANCE MATERIALS REFERENCE WHETHER AN INDIVIDUAL QUALIFIES FOR MEDICARE, MEDICAID, OR OTHER PUBLIC PROGRAMS AS PART OF ELIGIBILITY CONTEXT, BUT THE WEBPAGE MATERIALS PROVIDED DO NOT DESCRIBE A DETAILED, STEP-BY-STEP MEDICAID APPLICATION-ASSISTANCE PROCESS BEYOND PUBLIC-PROGRAM SCREENING; HOWEVER, THE CHARITY CARE POLICY STATES THAT THE HOSPITAL ASSISTS PATIENTS IN APPLYING FOR AVAILABLE PUBLIC AND PRIVATE PROGRAMS. |
| SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION | MISSOURI DELTA MEDICAL CENTER SERVES A THREE-COUNTY REGION IN SOUTHEAST MISSOURI CONSISTING OF SCOTT, MISSISSIPPI, AND NEW MADRID COUNTIES, AN AREA COMMONLY REFERRED TO AS THE MISSOURI BOOTHEEL. THESE COUNTIES REPRESENTS THE HOSPITAL'S PRIMARY SERVICE AREA AND INCLUDE SMALL COMMUNITIES AND RURAL POPULATIONS. ACCORDING TO THE 2020 U.S. CENSUS, THE SERVICE AREA HAD APPROXIMATELY 67,070 RESIDENTS, INCLUDING 38,059 IN SCOTT COUNTY, 16,434 IN NEW MADRID COUNTY, AND 12,577 IN MISSISSIPPI COUNTY. THE REGION HAS EXPERIENCED POPULATION DECLINES OVER THE PAST DECADE AND IS CHARACTERIZED BY RURAL GEOGRAPHY, AGRICULTURAL ECONOMIES, AND LIMITED PUBLIC TRANSPORTATION. THE COMMUNITIES SERVED BY THE ORGANIZATION INCLUDE A HIGH PROPORTION OF INDIVIDUALS FACING SOCIAL AND ECONOMIC CHALLENGES, INCLUDING POVERTY, LIMITED ACCESS TO HEALTH CARE, LOWER HOUSEHOLD INCOMES, HIGHER UNEMPLOYMENT RATES, AND TRANSPORTATION BARRIERS. AT-RISK POPULATIONS INCLUDE LOW-INCOME HOUSEHOLDS, UNINSURED INDIVIDUALS, OLDER ADULTS, AND PERSONS WITHOUT RELIABLE TRANSPORTATION. THE POPULATION IS PREDOMINANTLY WHITE AND NON-HISPANIC, WITH APPROXIMATELY 18% OF RESIDENTS IDENTIFYING AS AFRICAN AMERICAN. THE SERVICE AREA ALSO HAS A HIGHER PROPORTION OF OLDER ADULTS THAN THE NATIONAL AVERAGE, WITH APPROXIMATELY 18% TO 19% OF RESIDENTS AGE 65 OR OLDER. MISSOURI DELTA MEDICAL CENTER SERVES AS A PRIMARY HEALTH CARE RESOURCE FOR THE REGION, PROVIDING COMPREHENSIVE ACUTE CARE AND SPECIALTY SERVICES, AS WELL AS A NETWORK OF RURAL HEALTH CLINICS, TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. |
| SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH | THE ORGANIZATION'S HOSPITAL AND HEALTH CARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROMOTING COMMUNITY HEALTH THROUGH ACCESS-FOCUSED SERVICES AND COMMUNITY OUTREACH. THE ORGANIZATION HAS EXPANDED TELEHEALTH SERVICES, PARTICULARLY BEHAVIORAL HEALTH TELEHEALTH, TO HELP PATIENTS OVERCOME BARRIERS SUCH AS TRANSPORTATION CHALLENGES, STIGMA, AND PROVIDER SHORTAGES, AND TO CONNECT INDIVIDUALS WITH NEEDED MENTAL HEALTH SERVICES. THE ORGANIZATION ALSO PROMOTES COMMUNITY HEALTH THROUGH OUTPATIENT BEHAVIORAL HEALTH SERVICES PROVIDED BY A MULTIDISCIPLINARY CARE TEAM THAT INCLUDES PSYCHIATRISTS, PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERS, COUNSELORS, AND LICENSED CLINICAL SOCIAL WORKERS. IN ADDITION, THE ORGANIZATION SUPPORTS PREVENTIVE HEALTH AND COMMUNITY OUTREACH THROUGH BACK TO SCHOOL FAIRS FOR LOW-INCOME CHILDREN, WHICH INCLUDE IMMUNIZATIONS, HYGIENE AND ORAL HYGIENE SERVICES, EDUCATIONAL MATERIALS, AND OTHER SUPPORT INTENDED TO HELP CHILDREN AND FAMILIES BEGIN THE SCHOOL YEAR WITH NEEDED HEALTH AND SAFETY RESOURCES. |
| SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT | MO |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI DELTA MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1008 NORTH MAIN ST | AddressLine1Txt |
| City | SIKESTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 431577510 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $11,071 | CashGrantAmt |
| Purpose Of Grant | SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| BRUCE MEMORIAL SCHOLARSHIP | 8 | $8,000 |
| RAY CLINTON HEALTHCARE SCHOLARSHIP | 9 | $9,000 |
| COOPER SCHOLARSHIP | 5 | $6,000 |
| JUANITA WILLIAMS SCHOLARSHIP | 2 | $2,000 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | THE SCHOLARSHIP PROGRAM IS DESIGNED TO PROVIDE A CONSISTENT FLOW OF REGISTERED NURSES TO MISSOURI DELTA MEDICAL CENTER. THE OBJECTIVE OF THE PLAN IS TO ENCOURAGE AND FINANCIALLY ASSIST QUALIFIED STUDENTS IN THEIR ENDEAVOR TO BECOME A REGISTERED NURSE. TO THE EXTENT OF AVAILABLE FUNDS, THE MEDICAL CENTER WILL PAY SCHOLARSHIPS TO QUALIFIED STUDENTS OF AN ACCREDITED REGISTERED NURSE PROGRAM. TO QUALIFY FOR THE PROGRAM A STUDENT MUST: A. BE A HIGH SCHOOL GRADUATE 1. RANK IN THE UPPER THIRD OF HIGH SCHOOL CLASS ACADEMICALLY 2. SHOW EVIDENCE OF MOTIVATION FOR NURSING EITHER BY APTITUDE TESTING OR BY REPORTED DEMONSTRATION OF INTEREST 3. PROVIDE LETTER OF RECOMMENDATION FROM AN APPROPRIATE SCHOOL OFFICIAL 4. BE APPROVED BY THE HOSPITAL SCHOLARSHIP SELECTION COMMITTEE B. STUDENT NURSES - ALL STUDENT NURSES MUST: 1. HAVE AT LEAST THE EQUIVALENT OF A 2.5 GRADE POINT AVERAGE IN A 4 POINT SYSTEM 2. MUST PROVIDE A LETTER OF RECOMMENDATION FROM A RESPONSIBLE AND APPROPRIATE PERSON 3. BE APPROVED BY THE SCHOLARSHIP COMMITTEE C. CURRENT EMPLOYEES - ALL CURRENT EMPLOYEES MUST: 1. BE ENROLLED IN A NURSING PROGRAM AS A FULL-TIME STUDENT 2. NOT BE RECEIVING ANY HOSPITAL BENEFITS 3. BE APPROVED BY THE SCHOLARSHIP COMMITTEE | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JASON SCHRUMPF | ||||||||||||||
| PRESIDENT/CEO | $397,702 | $0 | $61,562 | $0 | $23,180 | $0 | $7,000 | $0 | $11,336 | $0 | $500,780 | $0 | $0 | $0 |
| JAMES HENSON | ||||||||||||||
| SENIOR VICE PRESIDENT | $250,828 | $0 | $18,947 | $0 | $178 | $0 | $6,222 | $0 | $12,336 | $0 | $288,511 | $0 | $0 | $0 |
| GREG CARDA | ||||||||||||||
| VP OF FINANCE END 09/25 | $166,164 | $0 | $14,526 | $0 | $50,792 | $0 | $6,220 | $0 | $14,377 | $0 | $252,079 | $0 | $0 | $0 |
| CAROLYN GARNER | ||||||||||||||
| VP OF FINANCE BEG 09/25 | $137,727 | $0 | $65 | $0 | $16,479 | $0 | $3,015 | $0 | $5,321 | $0 | $162,607 | $0 | $0 | $0 |
| JULIE FRAZER | ||||||||||||||
| VP OF NURSING | $217,517 | $0 | $16,509 | $0 | $516 | $0 | $4,946 | $0 | $13,025 | $0 | $252,513 | $0 | $0 | $0 |
| BRANDON COVERT | ||||||||||||||
| PHYSICIAN | $545,583 | $0 | $1,150,284 | $0 | $414 | $0 | $7,000 | $0 | $4,431 | $0 | $1,707,712 | $0 | $0 | $0 |
| RUDY RODRIGUEZ | ||||||||||||||
| PHYSICIAN | $814,491 | $0 | $475,392 | $0 | $22,596 | $0 | $7,000 | $0 | $6,825 | $0 | $1,326,304 | $0 | $0 | $0 |
| ANIMESH SAHAI | ||||||||||||||
| PHYSICIAN | $467,931 | $0 | $482,851 | $0 | $24,169 | $0 | $7,000 | $0 | $9,099 | $0 | $991,050 | $0 | $0 | $0 |
| KENNETH MOY | ||||||||||||||
| PHYSICIAN | $365,618 | $0 | $469,609 | $0 | $24,188 | $0 | $7,000 | $0 | $11,387 | $0 | $877,802 | $0 | $0 | $0 |
| JACOB RANDICH | ||||||||||||||
| PHYSICIAN | $317,451 | $0 | $482,174 | $0 | $144 | $0 | $7,000 | $0 | $10,069 | $0 | $816,838 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES | THE ORGANIZATION PAID CLUB DUES ON BEHALF OF ITS CEO, JASON SCHRUMPF, CONSISTING OF COUNTRY CLUB DUES AND LIONS CLUB DUES. THESE CLUB DUES WERE NONTAXABLE TO THE CEO AND WERE NOT INCLUDED IN TAXABLE COMPENSATION. |
| SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT | GREG CARDA, CFO, RECEIVED A ONE-TIME SEVERANCE PAYMENT OF $50,000 DURING THE YEAR. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SIKESTON MISSOURI | ||||||||
| A | 431278947 | 000000000 | 2014-12-22 | $9,500,000 | REFUND SERIES 2002 BONDS, ACQUIRE, CONSTRUCT, REMODEL, IMPROVE, FURNISH & EQUIP HOSPITAL FACILITIES | false | false | false |
| INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SIKESTON MISSOURI | ||||||||
| B | 431278947 | 000000000 | 2019-04-09 | $4,700,000 | ACQUIRE, CONSTRUCT, REMODEL, IMPROVE, FURNISH AND EQUIP THE HOSPITAL FACILITIES | false | false | false |
| INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SIKESTON MISSOURI | ||||||||
| C | 431278947 | 000000000 | 2022-01-06 | $7,000,000 | ACQUIRE, CONSTRUCT, REMODEL, IMPROVE, FURNISH AND EQUIP THE HOSPITAL FACILITIES | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $6,385,821 | $0 | $9,500,000 | $0 | $0 | $8,126,997 | $75,867 | $0 | $0 | $1,297,136 | $0 | $0 | 2014 | false | Yes (true) | Yes (true) | Yes (true) |
| B | $1,504,829 | $0 | $4,700,000 | $0 | $0 | $0 | $0 | $0 | $0 | $4,700,000 | $0 | $0 | 2021 | false | false | Yes (true) | Yes (true) |
| C | $614,364 | $0 | $7,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $7,000,000 | $0 | $0 | 2023 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | 0 | 0 | 0.0 | false | false | 0 | false | Yes (true) |
| B | false | false | false | false | false | false | 0 | 0 | 0.0 | false | false | 0 | false | Yes (true) |
| C | false | false | false | false | false | false | 0 | 0 | 0.0 | false | false | 0 | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | false | false | 0 | false | false | false | 0 | false | false | Yes (true) |
| B | false | false | Yes (true) | false | Yes (true) | false | 0 | false | false | false | 0 | false | false | Yes (true) |
| C | false | Yes (true) | false | false | Yes (true) | false | 0 | false | false | false | 0 | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CATHERINE SCHRUMPF | |||
| SPOUSE OF JASON SCHRUMPF, PRESIDENT/CEO | $26,421 | EMPLOYEE COMPENSATION | false |
| RITA HENSON | |||
| SPOUSE OF JAMES HENSON, SENIOR VICE PRESIDENT | $45,650 | EMPLOYEE COMPENSATION | false |
| DR LACEY YOUNG | |||
| DAUGHTER-IN-LAW OF JULIE FRAZER, VP OF NURSING | $299,097 | EMPLOYEE COMPENSATION | false |
| RAYMOND EARL SISK | |||
| BROTHER-IN-LAW OF LEVIN COX, DIRECTOR | $219,968 | EMPLOYEE COMPENSATION | false |
| RHONDA MENZ | |||
| WIFE OF BRIAN MENZ, DIRECTOR | $30,861 | EMPLOYEE COMPENSATION | false |
| JUDITH MENZ | |||
| MOTHER OF BRIAN MENZ, DIRECTOR | $56,029 | EMPLOYEE COMPENSATION | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 15A & 15B - PROCESS TO ESTABLISH COMPENSATION | THE ORGANIZATIONS SALARY AND ADMINISTRATIVE REVIEW COMMITTEE, WHICH IS MADE UP OF MEMBERS OF THE BOARD OF DIRECTORS, REVIEWS THE COMPENSATION FOR THE PRESIDENT AND VICE PRESIDENTS OF THE MEDICAL CENTER. THE REVIEW OF COMPENSATION UTILIZES THE ANNUAL "EXECUTIVE COMPENSATION REPORT'" THAT IS PUBLISHED BY THE MISSOURI HOSPITAL ASSOCIATION. A REVIEW OF THE COMPENSATION OF MISSOURI DELTA MEDICAL CENTER'S PRESIDENT AND VICE PRESIDENTS WAS CONDUCTED FOR THE YEAR ENDED SEPTEMBER 30, 2025. |
| FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS | BETH JOHNSON AND DEKE LAPE - BUSINESS RELATIONSHIP |
| FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. BEFORE THE FORM 990 IS FILED, THE VICE PRESIDENT OF FINANCE OF THE ORGANIZATION REVIEWS THE FORM 990. THE FINANCE COMMITTEE OF MISSOURI DELTA MEDICAL CENTER WILL ALSO PERFORM A REVIEW OF THE FORM 990 AFTER THE FORM HAS BEEN FILED. IN ADDITION, COPIES OF THE FORM 990 WILL BE AVAILABLE TO THE MISSOURI DELTA MEDICAL CENTER'S BOARD OF DIRECTORS AFTER THE ORGANIZATION'S FORM 990 HAS BEEN FILED. |
| FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY | MEMBERS OF THE BOARD OF DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS HAVE AN OBLIGATION TO MAKE DECISIONS AND TO PERFORM THEIR DUTIES FOR THE SOLE BENEFIT OF THE HOSPITAL. ALL PERSONS SERVING IN SUCH CAPACITY SHOULD AVOID PLACING HIMSELF/HERSELF IN A POSITION WHERE PERSONAL INTERESTS ARE IN CONFLICT WITH THE INTERESTS OF THE HOSPITAL. THE FOLLOWING DEFINITIONS SHALL APPLY TO THIS POLICY: 1. AN "INTERESTED PERSON" IS A MEMBER OF THE BOARD OF DIRECTORS, PRINCIPAL OFFICER OR MEMBER OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS 2. A PERSON HAS A "FINANCIAL INTEREST" IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: A. A PRESENT OR POTENTIAL OWNERSHIP, INVESTMENT, INTEREST, OR COMPENSATION ARRANGEMENT IN ANY ENTITY WITH WHICH THE HOSPITAL HAS OR MAY HAVE A TRANSACTION OR ARRANGEMENT B. A COMPENSATION ARRANGEMENT WITH THE HOSPITAL OR ANY ENTITY OR INDIVIDUAL WITH WHICH THE ORGANIZATION HAS A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES ANY REMUNERATION, DIRECTLY OR INDIRECTLY, AND GIFTS OF FAVORS, WHICH ARE SUBSTANTIAL IN NATURE 3. AN "AFFILIATED ORGANIZATION" INCLUDES ANY ORGANIZATION OR ENTITY OWNED OR OPERATED BY THE HOSPITAL OR IN WHICH THE HOSPITAL HAS A DIRECT FINANCIAL INTEREST ANY "INTERESTED PERSON" MUST DISCLOSE TO THE HOSPITAL AND ANY AFFILIATED ORGANIZATION ALL FINANCIAL INTERESTS AND ALL MATERIAL FACTS RELATING THERETO. IF A CONFLICT DOES ARISE, THE HOSPITAL AND ANY AFFILIATED ORGANIZATION SHALL: 1.REQUIRE THAT THE "INTERESTED PERSON" LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST 2. APPOINT, IF APPROPRIATE, UNDER THE CIRCUMSTANCES THEN APPEARING, A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT 3. DETERMINE, BY A MAJORITY VOTE OF NON-INTERESTED PERSONS PRESENT, THAT THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL OR AFFILIATED ORGANIZATION'S BEST INTERESTS AND FOR ITS OWN BENEFIT AND IS FAIR AND REASONABLE TO THE HOSPITAL OR AFFILIATED ORGANIZATION. 4. TAKE APPROPRIATE DISCIPLINARY ACTION WITH RESPECT TO AN "INTERESTED PERSON" WHO VIOLATES THIS CONFLICT OF INTEREST POLICY TO PROTECT THE ORGANIZATION'S BEST INTERESTS. THE MINUTES OF ANY MEETING OF THE BOARD OF DIRECTORS OR ANY COMMITTEE WITH BOARD-DELEGATED POWERS SHALL INCLUDE THE FOLLOWING: 1. THE NAMES OF THE PERSONS WHO DISCLOSED FINANCIAL INTERESTS AND THE NATURE OF THEIR FINANCIAL INTEREST 2. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT AND A RECORD OF THE VOTE. NO PHYSICIAN, WHO RECEIVES COMPENSATION DIRECTLY OR INDIRECTLY FROM THE HOSPITAL OR ANY AFFILIATED ORGANIZATION, SHALL BE A MEMBER OR SERVE ON ANY COMMITTEE DECIDING ON COMPENSATION FOR INDEPENDENT CONTRACTORS OR PRINCIPAL OFFICERS OF THE CORPORATION. NO MEMBER OF ANY COMPENSATION COMMITTEE WHO HAS A CONFLICT OF INTEREST SHALL, DIRECTLY OR INDIRECTLY, VOTE ON MATTERS PERTAINING TO THAT INDIVIDUAL'S COMPENSATION. EVERY MEMBER OF THE BOARD OF DIRECTORS, PRINCIPAL OFFICER, AND MEMBER OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS SHALL SIGN AN ANNUAL STATEMENT THAT SUCH PERSON: 1. RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY 2. READ AND UNDERSTANDS THE POLICY 3. AGREES TO COMPLY WITH THE POLICY 4. UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS AND 5. UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS TAX EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. |
| FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC | THE ORGANIZATIONS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G OTHER FEES | CONTRACT FEES - TOTAL EXPENSE: 11811143, PROGRAM SERVICE EXPENSE: 8269766, MANAGEMENT AND GENERAL EXPENSES: 3541377, FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICES - TOTAL EXPENSE: 9696190, PROGRAM SERVICE EXPENSE: 6877238, MANAGEMENT AND GENERAL EXPENSES: 2818952, FUNDRAISING EXPENSES: ; CONSULTING FEES - TOTAL EXPENSE: 629221, PROGRAM SERVICE EXPENSE: 564420, MANAGEMENT AND GENERAL EXPENSES: 64801, FUNDRAISING EXPENSES: ; COLLECTION FEES - TOTAL EXPENSE: 289031, PROGRAM SERVICE EXPENSE: 0, MANAGEMENT AND GENERAL EXPENSES: 289031, FUNDRAISING EXPENSES: ; DIRECTORS FEES - TOTAL EXPENSE: 19987, PROGRAM SERVICE EXPENSE: 19987, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI DELTA MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1008 NORTH MAIN STREET | AddressLine1Txt |
| City | SIKESTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 638015044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431577510 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | TYPE I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI DELTA MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI DELTA MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $1,496,516 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments