RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN (EIN 43-0666765)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-10
IRS object ID: 202421319349304307
Schema version: 2022v5.0
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-10T14:42:55+00:00	ReturnTs
Tax Period End	2023-06-30	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 LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	211 North Broadway Suite 600	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	631022733	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430666765	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RANK	BusinessNameControlTxt
Phone	3148726400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11365 DORSETT ROAD	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63043	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Shawn Dryden	PersonNm
Person Title	Chief Executive Officer	PersonTitleTxt
Phone	3147726411	PhoneNum
Signature	2024-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Shawn	PersonFirstNm
Person Last	Dryden	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristen M Hankins	PreparerPersonNm
PTIN	P01256574	PTIN
Phone	3142315544	PhoneNum
Preparation	2023-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELIZABETH PROSPERI	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11365 DORSETT ROAD	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63043	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$76,918,451	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RANKENJORDAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	PEDIATRIC BRIDGE HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDREN	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	593	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,637,733	PYContributionsGrantsAmt
CY Contributions Grants	$4,702,297	CYContributionsGrantsAmt
PY Program Service Revenue	$59,117,136	PYProgramServiceRevenueAmt
CY Program Service Revenue	$67,311,681	CYProgramServiceRevenueAmt
PY Investment Income	$5,347,026	PYInvestmentIncomeAmt
CY Investment Income	$2,533,489	CYInvestmentIncomeAmt
PY Other Revenue	$63,725	PYOtherRevenueAmt
CY Other Revenue	-$37,567	CYOtherRevenueAmt
PY Total Revenue	$69,165,620	PYTotalRevenueAmt
CY Total Revenue	$74,509,900	CYTotalRevenueAmt
PY Grants And Similar Paid	$65,493	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$58,676	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$29,425,327	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,226,314	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,809,936	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,245,683	PYOtherExpensesAmt
CY Other Expenses	$18,055,907	CYOtherExpensesAmt
PY Total Expenses	$45,736,503	PYTotalExpensesAmt
CY Total Expenses	$52,340,897	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,429,117	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,169,003	CYRevenuesLessExpensesAmt
Total Assets BOY	$140,456,097	TotalAssetsBOYAmt
Total Assets EOY	$168,859,059	TotalAssetsEOYAmt
Total Liabilities BOY	$39,251,329	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$40,362,166	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$101,204,768	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$128,496,893	NetAssetsOrFundBalancesEOYAmt
Mission	RANKEN JORDAN IS A PEDIATRIC BRIDGE HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDREN AND THEIR FAMILIES. WE ARE A LEADER IN PROVIDING INTENSIVE TRANSITIONAL CARE AND LIVING SUPPORT FOR THESE CHILDREN.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$32,180,833	ExpenseAmt
Grant	$58,676	GrantAmt
Revenue	$65,765,290	RevenueAmt
Desc	DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 17,492 DAYS OF MEDICAL CARE FOR INPATIENTS. 53% OF INPATIENTS WERE DISCHARGED HOME TO CONTINUED CARE BY THEIR FAMILIES AND HAVE NOT NEEDED ADMISSION TO ANOTHER CARE FACILITY. OF THE DAYS OF CARE PROVIDED, 89% OF INPATIENTS WERE CHILDREN ELIGIBLE TO RECEIVE SOME FORM OF MEDICAID ASSISTANCE. NO INPATIENT EVER LEAVES RANKEN JORDAN WITH A PATIENT RESPONSIBILITY DUE UNLESS WE ARE CONTRACTUALLY OBLIGATED TO COLLECT COINSURANCE OR DEDUCTIBLES FOR COVERAGE UNDER A COMMERCIAL POLICY. THE STAFF PREPARES FAMILIES TO GO HOME WITH THE APPROPRIATE DEVICES AND EQUIPMENT AS WELL AS THE SKILL NECESSARY TO CARE FOR THEIR CHILD.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,975,932	ExpenseAmt
Desc	A VARIETY OF COMMUNITY PROGRAMS ARE ALSO PROVIDED TO SUPPORT CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES. THESE PROGRAMS ARE ALWAYS OFFERED FREE OF CHARGE AND OPEN TO THE GENERAL PUBLIC. THIS PROGRAMMING INCLUDES (BUT IS NOT LIMITED TO) SUPPORT GROUPS, SPORTS RELATED ACTIVITIES FOR CHILDREN WITH SPECIAL NEEDS, AND SOCIAL ENRICHMENT ACTIVITIES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS. A TOTAL OF 2,030 INDIVIDUALS WERE SERVED BY THE COMMUNITY PROGRAMS DURING THE YEAR.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,383,652	ExpenseAmt
Revenue	$1,546,391	RevenueAmt
Desc	DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 37,302 UNITS OF OUTPATIENT SERVICES TO CHILDREN REQUIRING INTENSIVE THERAPY. RANKEN JORDAN PROVIDES PHYSICAL, OCCUPATIONAL, SPEECH, PSYCHOLOGY, AND AQUATIC THERAPIES ON AN OUTPATIENT BASIS. RANKEN JORDAN OUTPATIENT PROGRAMS ALSO INCLUDE CONSTRAINT INDUCED MOVEMENT THERAPY AND PHYSIATRY SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$44,540,417	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	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	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	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	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	22	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	593	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	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
Form990 Provided To Gvrn Body	Yes (true)	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3148726400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11365 DORSETT ROAD	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63043	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 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
CHRIS CIOFFI
PART-YEAR TREASURER	5.0	0	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH PROSPERI
CHAIR	10.0	0	Yes (X)	Yes (X)	$0	$0	$0
MIKE HART
TREASURER	3.0	0	Yes (X)	Yes (X)	$0	$0	$0
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER	50.0	0	Yes (X)	Yes (X)	$477,949	$0	$35,424
NICK WILLIAMSON
VICE CHAIR	5.0	0	Yes (X)	Yes (X)	$0	$0	$0
R BRETT MOOREHOUSE
PRESIDENT/CEO	50.0	0	Yes (X)	Yes (X)	$415,667	$0	$568
THOMAS J MINOGUE
SECRETARY	5.0	0	Yes (X)	Yes (X)	$0	$0	$0
DAVID HATFIELD
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
DAWN ANDREW MD
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
DEREK GLANVILL
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
DR MEGAN OTTOMEYER
EX OFFICIO MEMBER	3.0	0	Yes (X)		$0	$0	$0
ERIC HAM
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
JACOB RISK
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
JOHN PROSPERI
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
JOHN RAHAL
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
KRISTEN HOGAN
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
KURTIS T SOBUSH MD
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
MICHAEL SCULLY
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
MIKE DETWILER
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
PAM DUFFY
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
RABBI MARK L SHOOK
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
RICHARD A VANDEGRIFT
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
ROMA NEMANI BORDEWICK
BOARD MEMBER	5.0	0	Yes (X)		$0	$0	$0
STEVE CORTOPASSI
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
THAD SIMONS
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
WALTER BAZAN JR
BOARD MEMBER	3.0	0	Yes (X)		$0	$0	$0
JOHN CLAGG
CFO	50.0	0		Yes (X)	$277,522	$0	$28,830
KRISTIN LAROSE
CHIEF NURSING OFFICER	40.0	0			$217,885	$0	$29,670	Yes (X)
DAWN M MCNAMEE
PHYSICIAN	40.0	0			$200,117	$0	$23,874		Yes (X)
EUGENE EVRA MD
PHYSICIAN	40.0	0			$263,389	$0	$33,593		Yes (X)
LYNDA BRADY MD
MANAGER PHYSICIAN	40.0	0			$275,621	$0	$34,520		Yes (X)
ROD PELLENBERG MD
PHYSICIAN	40.0	0			$236,990	$0	$31,593		Yes (X)
STEVE E LINDEE
CHIEF DEVELOPMENT OFFICER	40.0	0			$200,183	$0	$20,236		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,565,323	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$238,308	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	63195	CONSULT/ELEC HEALTH REC	$1,244,202
Lawlor Corporation
1440 Strasnor	St Louis	MO	63144	Construction	$541,641
ATB Technologies
14567 N Outer Forty RD	Chesterfield	MO	63017	Technology	$301,589	STE 525
Thompson Coburn
PO Box 18379M	St Louis	MO	63195	Legal Services	$125,576

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Fundraising	$286,106	FundraisingAmt
All Other Contributions	$4,416,191	AllOtherContributionsAmt
Noncash Contributions	$169,393	NoncashContributionsAmt
Total Contributions	$4,702,297	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT CARE	621110	$65,765,290	$65,765,290
OUTPATIENT CARE	621110	$1,546,391	$1,546,391

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	$67,311,681	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,250,995	TotalRevenueColumnAmt
Exclusion	$2,250,995	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,282,597	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,000,103	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$282,494	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$282,494	TotalRevenueColumnAmt
Exclusion	$282,494	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$218,296	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$286,106	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$408,448	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$190,152	TotalRevenueColumnAmt
Exclusion	-$190,152	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$152,585	TotalRevenueColumnAmt
Exclusion	$152,585	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	$152,585	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,509,900	TotalRevenueColumnAmt
Related Or Exempt Func Income	$67,311,681	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,495,922	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$58,676	TotalAmt
Program Services	$58,676	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,463,731	TotalAmt
Program Services	$761,669	ProgramServicesAmt
Management And General	$702,062	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,396,399	TotalAmt
Program Services	$23,047,860	ProgramServicesAmt
Management And General	$2,416,656	ManagementAndGeneralAmt
Fundraising	$931,883	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,400,048	TotalAmt
Program Services	$1,141,646	ProgramServicesAmt
Management And General	$197,409	ManagementAndGeneralAmt
Fundraising	$60,993	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,010,648	TotalAmt
Program Services	$2,435,538	ProgramServicesAmt
Management And General	$446,568	ManagementAndGeneralAmt
Fundraising	$128,542	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,955,488	TotalAmt
Program Services	$1,572,212	ProgramServicesAmt
Management And General	$300,813	ManagementAndGeneralAmt
Fundraising	$82,463	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$22,333	TotalAmt
Management And General	$22,333	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$160,085	TotalAmt
Management And General	$160,085	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$99,528	TotalAmt
Management And General	$99,528	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$9,485	TotalAmt
Management And General	$9,485	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,204,659	TotalAmt
Program Services	$971,385	ProgramServicesAmt
Management And General	$172,562	ManagementAndGeneralAmt
Fundraising	$60,712	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$294,983	TotalAmt
Management And General	$150	ManagementAndGeneralAmt
Fundraising	$294,833	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$947,547	TotalAmt
Program Services	$761,827	ProgramServicesAmt
Management And General	$145,761	ManagementAndGeneralAmt
Fundraising	$39,959	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,153,173	TotalAmt
Program Services	$1,331,622	ProgramServicesAmt
Management And General	$783,840	ManagementAndGeneralAmt
Fundraising	$37,711	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,192,375	TotalAmt
Program Services	$958,670	ProgramServicesAmt
Management And General	$183,423	ManagementAndGeneralAmt
Fundraising	$50,282	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$36,000	TotalAmt
Program Services	$25,997	ProgramServicesAmt
Management And General	$8,775	ManagementAndGeneralAmt
Fundraising	$1,228	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$73,256	TotalAmt
Program Services	$58,898	ProgramServicesAmt
Management And General	$11,269	ManagementAndGeneralAmt
Fundraising	$3,089	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,554,535	TotalAmt
Program Services	$1,445,717	ProgramServicesAmt
Management And General	$77,727	ManagementAndGeneralAmt
Fundraising	$31,091	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,866,777	TotalAmt
Program Services	$2,666,102	ProgramServicesAmt
Management And General	$143,339	ManagementAndGeneralAmt
Fundraising	$57,336	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$150,971	TotalAmt
Program Services	$121,381	ProgramServicesAmt
Management And General	$23,224	ManagementAndGeneralAmt
Fundraising	$6,366	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical and Patient Supplies	$3,790,224	$3,790,224
FRA Fees	$2,943,936	$2,943,936
Repairs and Maintenance	$233,388	$187,644	$35,902	$9,842
Community Outreach	$77,165	$62,041	$11,870	$3,254

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$245,487	TotalAmt
Program Services	$197,372	ProgramServicesAmt
Management And General	$37,763	ManagementAndGeneralAmt
Fundraising	$10,352	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$52,340,897	TotalAmt
Program Services	$44,540,417	ProgramServicesAmt
Management And General	$5,990,544	ManagementAndGeneralAmt
Fundraising	$1,809,936	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,247,414	BOYAmt
EOY	$16,967,771	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,000	BOYAmt
EOY	$166,964	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,454,662	BOYAmt
EOY	$7,348,720	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$409,705	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,496,008	BOYAmt
EOY	$1,315,594	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$76,706,155	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,118,371	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$48,547,105	BOYAmt
EOY	$46,587,784	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$75,700,908	BOYAmt
EOY	$96,062,521	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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$140,456,097	BOYAmt
EOY	$168,859,059	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,480,119	BOYAmt
EOY	$5,537,634	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$53,600	BOYAmt
EOY	$840,241	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,398,556	BOYAmt
EOY	$33,635,104	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$319,054	BOYAmt
EOY	$349,187	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,251,329	BOYAmt
EOY	$40,362,166	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	$99,682,847	BOYAmt
EOY	$125,876,177	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,521,921	BOYAmt
EOY	$2,620,716	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$101,204,768	BOYAmt
EOY	$128,496,893	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$140,456,097	BOYAmt
EOY	$168,859,059	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$22,169,003	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,123,122	NetUnrlzdGainsLossesInvstAmt
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

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,189,474	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,749,319	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,475,889	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,637,733	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,702,297	CurrentTaxYearAmt
Total	$18,754,712	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,189,474	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,749,319	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,475,889	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,637,733	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,702,297	CurrentTaxYearAmt
Total	$18,754,712	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$473,430	SubstantialContributorsTotAmt
Public Support Total170	$18,281,282	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$613,266	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$718,532	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,005,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,547,951	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,250,995	CurrentTaxYearAmt
Total	$6,136,657	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$413,848	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$207,985	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$196,738	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$208,439	CurrentTaxYearMinus1YearAmt
Current Tax Year	$370,881	CurrentTaxYearAmt
Total	$1,397,891	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$26,289,260	TotalSupportAmt
Gross Receipts Rltd Activities	$258,172,333	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.6954	PublicSupportCY170Pct
Public Support PY170	0.5362	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$0	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0	PublicSupportCY509Pct
Public Support PY509	0.0	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct
Private Foundation509	Yes (X)	PrivateFoundation509Ind

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II, Line 10 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - OTHER INCOME, COLUMN A - 413848.0, COLUMN B - 207985.0, COLUMN C - 196738.0, COLUMN D - 208439.0, COLUMN E - 370881.0, COLUMN F - 1397891.0;	ExplanationTxt

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	$9,485	OtherActivitiesAmt
Total Lobbying Expenditures	$9,485	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	RANKEN JORDAN PAYS DUES TO A VARIETY OF OTHER PROFESSIONAL ORGANIZATIONS. A PORTION OF THOSE DUES ARE IDENTIFIED BY EACH ORGANIZATION AS ALLOCABLE TO LOBBYING. THE TOTAL DEEMED AS LOBBYING BY EACH ORGANIZATION FOR THE YEAR IS REFLECTED ABOVE AS "OTHER ACTIVITIES".	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,195,474	BeginningYearBalanceAmt
Investment Earnings Or Losses	$100,550	InvestmentEarningsOrLossesAmt
End Year Balance	$1,296,024	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$727,325	BeginningYearBalanceAmt
Contributions	$695,109	ContributionsAmt
Investment Earnings Or Losses	-$226,960	InvestmentEarningsOrLossesAmt
End Year Balance	$1,195,474	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$319,830	BeginningYearBalanceAmt
Contributions	$328,415	ContributionsAmt
Investment Earnings Or Losses	$79,080	InvestmentEarningsOrLossesAmt
End Year Balance	$727,325	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$272,500	BeginningYearBalanceAmt
Investment Earnings Or Losses	$47,330	InvestmentEarningsOrLossesAmt
End Year Balance	$319,830	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$272,500	ContributionsAmt
End Year Balance	$272,500	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$759,000	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,600,177	OtherCostOrOtherBasisAmt
Book Value	$2,359,177	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,895,372	OtherCostOrOtherBasisAmt
Depreciation	$15,947,755	DepreciationAmt
Book Value	$39,947,617	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,687,078	OtherCostOrOtherBasisAmt
Depreciation	$13,148,681	DepreciationAmt
Book Value	$2,538,397	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,764,528	OtherCostOrOtherBasisAmt
Depreciation	$1,021,935	DepreciationAmt
Book Value	$1,742,593	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$46,587,784	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION LIABILITY	Desc
Amt	$349,187	Amt

Field	Value	IRS element (for citing)
Total Liability	$349,187	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$78,534,227	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$5,123,122	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$5,123,122	RevenueNotReportedAmt
Revenue Subtotal	$73,411,105	RevenueSubtotalAmt
Other Revenues Not Included	$1,098,795	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,098,795	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$74,509,900	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$52,340,897	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$52,340,897	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$52,340,897	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE HOSPITAL WAS GIFTED A DONOR RESTRICTED AMOUNT OF $272,500 IN JUNE 2019 TO ESTABLISH AN ENDOWMENT FUND. THE EARNINGS ON THE INVESTED ENDOWMENT GIFT ARE TO BE USED FOR ANNUAL MAINTENANCE OF THE PLAYGROUND IN PERPETUITY AND ANNUAL FUNDING TO FOSTER PLAY FOR KIDS IN PERPETUITY. FUTURE EARNINGS ON THESE ENDOWED GIFTS WILL BE UTILIZED TO PROVIDE ONGOING SUPPORT OF THE FACILITIES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL HAS ADDRESSED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, ACCOUNTING FOR INCOME TAXES. IN THAT REGARD, THE HOSPITAL HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY, AT THIS TIME, TO COVER ANY UNCERTAIN TAX POSITIONS.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RESTRICTED CONTRIBUTIONS - 1360376 NET ASSETS RELEASED FROM RESTRICTIONS - -365909 RESTRICTED INVESTMENT INCOME - 104328

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$255,204	GrossReceiptsEvent1Amt
Charitable Contri Event1	$133,794	CharitableContriEvent1Amt
Gross Revenue Event1	$121,410	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$282,345	RentFacilityCostsEvent1Amt
Event2	GOLF	Event2Nm
Gross Receipts Event2	$205,279	GrossReceiptsEvent2Amt
Charitable Contri Event2	$131,771	CharitableContriEvent2Amt
Gross Revenue Event2	$73,508	GrossRevenueEvent2Amt
Cash Prizes Event2	$9,466	CashPrizesEvent2Amt
Non Cash Prizes Event2	$12,558	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$57,339	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$6,526	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$43,919	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$20,541	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$23,378	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$5,373	CashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$7,617	RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events	$27,224	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$504,402	GrossReceiptsTotalAmt
Charitable Contributions Tot	$286,106	CharitableContributionsTotAmt
Gross Revenue Total Events	$218,296	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$14,839	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$12,558	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$347,301	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$33,750	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$408,448	DirectExpenseSummaryEventsAmt
Net Income Summary	-$190,152	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	$272,016	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$272,016	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,235,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,330,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$46,507,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,330,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$272,016	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,770	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,770	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$582,120	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$582,120	NetCommunityBenefitExpnsAmt
Total Expense	0.0111	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$600,890	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$600,890	NetCommunityBenefitExpnsAmt
Total Expense	0.0115	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$47,108,472	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,330,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$872,906	NetCommunityBenefitExpnsAmt
Total Expense	0.0167	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	$37,809	BadDebtExpenseAmt
Bad Debt Expense Attributable	$37,809	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$45,285	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$187,710	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$142,425	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	THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11365 DORSETT ROAD	AddressLine1Txt
City	MARYLAND HEIGHTS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63043	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Other	PEDIATRIC SPECIALTY HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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://rankenjordan.org/about-us/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://rankenjordan.org/about-us/	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	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://rankenjordan.org/family-resources/financial-information-and-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://rankenjordan.org/family-resources/financial-information-and-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://rankenjordan.org/family-resources/financial-information-and-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 Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
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 3E	THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN. IN CONDUCTING THE 2022 TAX YEAR CHNA, RANKEN JORDAN TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH FACILITATION OF A PATIENT AND FAMILY ADVISORY COUNCIL, INTERNAL FOCUS GROUP, ANONYMOUS COMMUNITY SURVEYS, COMMUNITY PROGRAM PARTICIPANT SURVEYS, AND ONE ON ONE INTERVIEWS. PERSONS CONSULTED DURING THIS PROCESS INCLUDE CURRENT AND FORMER PATIENTS AND THEIR FAMILY MEMBERS, MEMBERS OF OUR MULTIDISCIPLINARY STAFF, PERSONS LIVING IN THE LOCAL COMMUNITY, REPRESENTATIVES FROM LOCAL CHILDREN'S HOSPITALS, AND POLITICAL REPRESENTATIVES OF THE AREAS FROM WHICH WE ADMIT PATIENTS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN. RANKEN JORDAN IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH COMMUNITY PROGRAMMING AND WORKING WITH LOCAL PARTNERS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN. NO COLLECTION ACTIONS ARE TAKEN AGAINST OUR PATIENTS. RANKEN JORDAN HAS NO AFFILIATION WITH ANY COLLECTION AGENCY OR ORGANIZATION. COLLECTION ACTIVITIES WOULD GO AGAINST THE MISSION OF RANKEN JORDAN, TO CARE FOR CHILDREN.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 6	RANKEN JORDAN IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part I, Line 7f Column F	THE BAD DEBT EXPENSE IS NOT CONSIDERED A COMMUNITY BENEFIT EXPENSE AND IS NOT INCLUDED IN SCHEDULE H, PART 1, LINE 7. THE AMOUNT EXCLUDED IS $37,809.
Schedule H, Part I, Line 3 DISCOUNTED CARE EXCEPTIONS	SEE PART V, SECTION B, LINE 13 FOR THE LIST OF FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNT CARE.
Schedule H, Part V ADDITIONAL DISCLOSURE REGARDING 501(R)	During preparation of the 2022 Form 990, the organization was alerted to minor and inadvertent errors related to 501(r) compliance. Prior to filing the 2022 Form 990, the organization has resolved the deficiencies through the following action items: - The Billing and Collections policy is now available on the organization's website at the following location: https://rankenjordan.org/family-resources/financial-information-and-assistance/. A paper copy of the policy is available to all patients and visitors at the hospital's registration desk. - Provider list, including those covered and not covered by the hospital's financial assistance policy has been completed and is available on their website at the following location: https://rankenjordan.org/wp-content/uploads/2024/05/Ranken-Jordan-Current-Providers-04-2024.pdf. A paper copy of the listing is also available at the hospital's registration desk. The Provider list is reviewed and updated on a quarterly basis. - Additional language translation is now available in Spanish for all documents, applications and policies on the organization's website and in person at the registration desk. Additional languages were provided for limited English proficiency groups comprising the lesser of 1,000 individuals or 5% of the hospital's community served. In order to ensure compliance in the future, the organization has implemented the following procedures: - During quarter financial close, staff will review website locations and materials at the registration desk to ensure all required documents, applications, and policies are available electronically and in paper format. - During quarter financial close, the provider listing will be review and updated, including an updated time and date stamp. - The organization will continue to improve lines of communications with those responsible for website maintenance and patient accounts to ensure that staff understand the requirements outlined in the 501(r) regulations.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The amounts reported on Form 990, Schedule H, Part I, Line 7a and 7b were determined using the cost to charge ratio derived from worksheet 2 in the schedule H instructions. Form 990, Schedule H, Part I, Lines 7e and 7f are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT IS RECORDED FOR PATIENTS THAT ARE ELIGIBLE FOR HEALTH INSURANCE BUT THE SERVICE IS NOT COVERED. BAD DEBT IS RECORDED AT THE NET REALIZABLE AMOUNT. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRDPARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.) FOR OUTPATIENT SERVICE RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT CERTAIN PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT IS RECORDED FOR PATIENTS THAT ARE ELIGIBLE FOR HEALTH INSURANCE BUT THE SERVICE IS NOT COVERED AND DEEMED TO BE A MEDICAL BENEFIT AND PROVIDED WITHOUT COST TO THE PATIENT. BAD DEBT IS DETERMINED BY TAKING THE GROSS CHARGES, LESS ANY CONTRACTUAL ALLOWANCE AGREEMENT WITH THE PAYER. BAD DEBT IS THEN RECORDED AT THE NET REALIZABLE AMOUNT. THE AMOUNTS SHOULD BE INCLUDED IN COMMUNITY BENEFIT BECAUSE EFFORTS WERE NOT MADE TO COLLECT THE AMOUNT FROM THE PATIENT'S FAMILY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE HOSPITAL'S PATIENT ACCOUNTS RECEIVABLE ARE PRIMARILY COMPRISED OF AMOUNTS DUE FROM MEDICAID, PRIVATE INSURANCE, SELFPAY PATIENTS, AND OTHER THIRDPARTY PAYORS. THE HOSPITAL EVALUATES THE VALUATION OF PATIENT ACCOUNTS RECEIVABLE BASED ON ANALYSIS OF HISTORICAL TRENDS, AS WELL AS ITS UNDERSTANDING OF THE NATURE AND COLLECTABILITY OF ACCOUNTS BASED ON THEIR AGE AND OTHER FACTORS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN THE COSTS TO PROVIDE THE SERVICES. THE SHORTFALLS SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THEY MUST BE ABSORBED IN ORDER TO CONTINUE PROVIDING CARE TO OUR COMMUNITY. IT IS ALSO IMPLIED IN INTERNAL REVENUE SERVICE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS AND INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFITS STANDARD.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	RANKEN-JORDAN DOES NOT HAVE A FORMAL WRITTEN COLLECTION POLICY BECAUSE NO COLLECTION ACTION IS TAKEN AGAINST OUR PATIENTS. RANKEN-JORDAN HAS NO AFFILIATION WITH ANY COLLECTION AGENCY OR ORGANIZATION. RANKEN-JORDAN INTERNALLY IDENTIFIES THE TIME PERIOD FOR WHICH UNPAID PATIENT ACCOUNTS WILL REMAIN OPEN AND AVAILABLE TO COLLECT. AFTER SENDING THREE STATEMENTS AND THE BALANCE IS NOT PAID, THE BALANCE IS WRITTEN OFF. FORMAL COLLECTION ACTIVITIES WOULD GO AGAINST THE MISSION OF RANKEN-JORDAN, TO CARE FOR CHILDREN.
Schedule H, Part V, Section B, Line 16a FAP website	- THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Line 16a URL: https://rankenjordan.org/family-resources/financial-information-and-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Line 16b URL: https://rankenjordan.org/family-resources/financial-information-and-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Line 16c URL: https://rankenjordan.org/family-resources/financial-information-and-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	RANKEN-JORDAN IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND THE CHILDREN'S HOSPITAL ASSOCIATION. THROUGH THESE AFFILIATIONS, RANKEN-JORDAN IS ABLE TO MONITOR AND PARTICIPATE IN PROGRAMS THAT HAVE BEEN DETERMINED TO MEET THE NEEDS OF THE COMMUNITY ON THE LOCAL LEVEL. RANKEN-JORDAN PARTNERS WITH DISABLED ATHLETES SPORTS ASSOCIATION (DASA), ST. LOUIS ARC, AND THE CITY OF MARYLAND HEIGHTS TO PROVIDE PROGRAMMING THAT MEETS THE NEEDS OF CHILDREN WITH COMPLEX MEDICAL ISSUES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ALL RANKEN-JORDAN PATIENTS AND FAMILIES ARE ASSIGNED A SOCIAL WORKER UPON ADMISSION. THAT PERSON WORKS DIRECTLY WITH THE PATIENT AND THE FAMILY TO MAKE SURE THAT THEIR FINANCIAL RESPONSIBILITIES ARE FULLY EXPLAINED. RANKEN-JORDAN HAS THE ABILITY TO ASSIST FAMILIES IN APPLYING FOR MEDICAID/MEDICARE COVERAGE IF THEY HAVE NOT ALREADY DONE SO. DUE TO THE SPECIAL NATURE OF THE PATIENTS, RANKEN-JORDAN SERVICES, AND THE MISSION OF THE ORGANIZATION, NO INPATIENT RECEIVES A BILL FOR CARE RECEIVED UNLESS WE ARE CONTRACTUALLY OBLIGATED TO COLLECT COINSURANCE OR DEDUCTIBLES FOR COVERAGE UNDER A COMMERCIAL POLICY. RANKEN-JORDAN DOES NOT WORK WITH OR TURN ANY PATIENT'S ACCOUNTS OVER FOR COLLECTION.
Schedule H, Part VI, Line 4 Community information	RANKEN-JORDAN SERVES THE METROPOLITAN ST. LOUIS AREA. PATIENTS ARE ACCEPTED BASED ON ADMISSION CRITERIA FOR SPECIALTY HOSPITALS. THE SERVICES PROVIDED ARE UNIQUE IN THAT THEY ARE ONLY AVAILABLE IN A LIMITED NUMBER OF LOCATIONS THROUGHOUT THE COUNTRY. CARE IS PROVIDED FOR CHILDREN WITH COMPLEX MEDICAL NEEDS, WITH THE GOAL OF SEEING THEM RETURN TO A SAFE HOME ENVIRONMENT.
Schedule H, Part VI, Line 5 Promotion of community health	RANKEN-JORDAN PROVIDES THE COMMUNITY WITH MANY OPPORTUNITES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES TO BE ABLE TO BECOME ACTIVE IN THE COMMUNITY. PROGRAMS ARE OFFERED SUCH AS "CHALLENGER BASEBALL GOLF THAT ALLOW CHILDREN TO PARTICIPATE IN SPORTS DESPITE THEIR PHYSICAL LIMITATIONS. EDUCATION OPPORTUNITIES ARE PROVIDED FOR THESE CHILDREN THAT INCLUDE COOKING, MARTIAL ARTS, CAMP, AND SOCIAL GATHERING PROGRAMS. ALL PROGRAMS ARE PROVIDED FREE OF CHARGE TO FAMILIES AND ARE OPEN TO THE GENERAL PUBLIC.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
TRANSPORTATION FOR PATIENT FAMILIES	79	$33,519
LODGING FOR OUT-OF-TOWN PARENTS	2	$202
INTERPRETER SERVICES/TRANSLATION FOR PATIENTS/FAMILIES THAT DO NOT SPEAK ENGLISH OR ARE HEARING IMPARED	16	$23,958
PERSONAL ITEMS FOR PATIENTS AND FAMILIES	6	$997

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 ORGANIZATION HAS POLICIES IN PLACE TO RECEIVE REQUESTS FOR ASSISTANCE. ALL REQUESTS FOR ASSISTANCE ARE EVALUATED BY THE SOCIAL SERVICES DEPARTMENT AND EVALUATED AGAINST SET POLICIES. ALL REQUESTS ARE THOROUGHLY DOCUMENTED IN THE PATIENT'S FILE. THE ORGANIZATION TAKES CARE TO ENSURE THAT PATIENTS RECEIVING GRANT ASSISTANCE MEET ESTABLISHED CRITERIA. ANY GRANT ASSISTANCE PROVIDED TO INDIVIDUALS IS HANDLED INTERNALLY AND THE INDIVIDUALS DO NOT RECEIVE DIRECT PAYMENT OF THE FUNDS AWARDED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
NICHOLAS A HOLEKAMP MD
CHIEF MEDICAL OFFICER	$435,949	$0	$42,000	$0	$0	$0	$18,300	$0	$17,124	$0	$513,373	$0	$0	$0
R BRETT MOOREHOUSE
PRESIDENT/CEO	$385,667	$0	$30,000	$0	$0	$0	$0	$0	$568	$0	$416,235	$0	$0	$0
JOHN CLAGG
CFO	$260,202	$0	$17,320	$0	$0	$0	$15,935	$0	$12,895	$0	$306,352	$0	$0	$0
KRISTIN LAROSE
CHIEF NURSING OFFICER	$200,335	$0	$17,550	$0	$0	$0	$12,356	$0	$17,314	$0	$247,555	$0	$0	$0
LYNDA BRADY MD
MANAGER PHYSICIAN	$275,621	$0	$0	$0	$0	$0	$16,775	$0	$17,745	$0	$310,141	$0	$0	$0
EUGENE EVRA MD
PHYSICIAN	$263,389	$0	$0	$0	$0	$0	$16,147	$0	$17,446	$0	$296,982	$0	$0	$0
ROD PELLENBERG MD
PHYSICIAN	$236,990	$0	$0	$0	$0	$0	$14,552	$0	$17,041	$0	$268,583	$0	$0	$0
DAWN M MCNAMEE
PHYSICIAN	$200,117	$0	$0	$0	$0	$0	$12,203	$0	$11,671	$0	$223,991	$0	$0	$0
STEVE E LINDEE
CHIEF DEVELOPMENT OFFICER	$189,833	$0	$10,350	$0	$0	$0	$11,464	$0	$8,772	$0	$220,419	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

NICHOLAS HOLEKAMP, R. BRETT MOOREHOUSE, AMY ZIMMERMAN, LYNDA BRADY, AND KRISTIN LAROSE ARE PARTICIPANTS IN A 457(F) PLAN. THERE WERE NO ACCRUALS MADE FOR THESE INDIVIDUALS DURING THE YEAR.

Schedule J, Part I, Line 7 Non-fixed payments

INCENTIVES PAID BY THE ORGANIZATION ARE DISCRETIONARY. THE BOARD DETERMINES IF/WHEN INCENTIVES WILL BE PAID AT THE END OF THE FISCAL YEAR. THEY RESEARCH CURRENT EXECUTIVE SALARIES OF LIKE ORGANIZATIONS, RESULTS OF THE YEAR, AND BENEFITS PACKAGES, TO COME TO A DETERMINATION. THERE IS NO WRITTEN AGREEMENT OR GUARANTEE INCENTIVES WILL BE PAID ANNUALLY. THE FOLLOWING INDIVIDUALS RECEIVED THE NONFIXED PAYMENT: NICHOLAS HOLEKAMP, R. BRETT MOOREHOUSE, JOHN CLAGG, AND STEVE LINDEE, ERIN BACHELOR AND KRISTIN LAROSE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	IDA OF THE COUNTY OF ST LOUIS MISSOURI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	431170145	BondIssuerEIN
CUSIP	79130GJC6	CUSIPNum
Bond Issued	2016-09-26	BondIssuedDt
Issue Price	$37,207,987	IssuePriceAmt
Purpose	REFUNDING SERIES 2007 BONDS EXPANSION	PurposeDesc
Defeased	Yes (true)	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,625,000	RetiredAmt
Bond Defeased	$18,975,000	BondDefeasedAmt
Total Proceeds	$37,207,987	TotalProceedsAmt
Refunding Escrow	$15,642,185	RefundingEscrowAmt
Issuance Costs From Proceeds	$519,597	IssuanceCostsFromProceedsAmt
Capital Expenditures	$21,565,802	CapitalExpendituresAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELLEN NAHLIK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$57,762	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	9	ContributionCnt
Noncash Contributions Rpt F990	$169,393	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I, Line 1 SCHEDULE M, PART 1, COLUMN (B):	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS.
Schedule M, Part I Explanations of reporting method for number of contributions	Securities - Publicly traded - SHARES RECEIVED

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JOHN PROSPERI (BOARD MEMBER) AND ELIZABETH PROSPERI (CHAIR) - Family relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE INITIAL FORM 990 IS ORIGINALLY PRESENTED TO THE FINANCE COMMITTEE. ONCE APPROVED BY THE FINANCE COMMITTEE, IT WILL BE MADE AVAILABLE ELECTRONICALLY TO THE FULL BOARD FOR FINAL APPROVAL. ONCE FINAL APPROVAL IS RECEIVED, THE FORM 990 WIL BE FILED ELECTRONICALLY BY OUR INDEPENDENT AUDITORS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES, OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION. THE EXECUTIVE COMMITTEE HAS OVERSIGHT RESPONSIBILITIES FOR THE PROGRAM. THE COMPLIANCE OFFICER CONDUCTS THE DAYTODAY OPERATIONS OF THE COMPLIANCE PROGRAM, INCLUDING COORDINATION OF THE RECEIPT OF REPORTS OF NONCOMPLIANCE. THE ORGANIZATION ADDED THE POSITION OF COMPLIANCE OFFICER/RISK MANAGER AS A FULLTIME POSITION DURING FISCAL YEAR 6/30/23.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, UNDER THE ADVISEMENT OF AN OUTSIDE CONSULTING GROUP, MEETS ANNUALLY TO REVIEW THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. THE MEETINGS ARE HELD ANNUALLY IN MAY. THE EXECUTIVE COMPENSATION COMMITTEE FINDINGS ARE APPROVED BY THE BOARD.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, UNDER THE ADVISEMENT OF AN OUTSIDE CONSULTING GROUP, MEETS ANNUALLY TO REVIEW THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. THE MEETINGS ARE HELD ANNUALLY IN MAY. THE EXECUTIVE COMPENSATION COMMITTEE FINDINGS ARE APPROVED BY THE BOARD.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.