RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN (EIN 43-0666765)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-13
IRS object ID: 202521339349303922
Schema version: 2023v6.0
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
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-13T11:11:08+00:00	ReturnTs
Tax Period End	2024-06-30	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 Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	211 N 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	2023-07-01	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	3148726400	PhoneNum
Signature	2025-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristen Hankins	PreparerPersonNm
PTIN	P01256574	PTIN
Phone	3142315544	PhoneNum
Preparation	2025-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	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	SHAWN DRYDEN	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	$76,254,132	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	1941	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	As a leader in transitional healthcare, we provide exceptional services for children with complex medical needs by reimagining what is possible and inspiring life-changing solutions for patients and families.	ActivityOrMissionDesc
Voting Members Governing Body	28	VotingMembersGoverningBodyCnt
Voting Members Independent	26	VotingMembersIndependentCnt
Total Employee	607	TotalEmployeeCnt
Total Volunteers	125	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,702,297	PYContributionsGrantsAmt
CY Contributions Grants	$3,925,815	CYContributionsGrantsAmt
PY Program Service Revenue	$67,311,681	PYProgramServiceRevenueAmt
CY Program Service Revenue	$66,555,646	CYProgramServiceRevenueAmt
PY Investment Income	$2,533,489	PYInvestmentIncomeAmt
CY Investment Income	$4,534,434	CYInvestmentIncomeAmt
PY Other Revenue	-$37,567	PYOtherRevenueAmt
CY Other Revenue	$204,868	CYOtherRevenueAmt
PY Total Revenue	$74,509,900	PYTotalRevenueAmt
CY Total Revenue	$75,220,763	CYTotalRevenueAmt
PY Grants And Similar Paid	$58,676	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$97,548	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,226,314	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$38,391,659	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,344,416	CYTotalFundraisingExpenseAmt
PY Other Expenses	$18,055,907	PYOtherExpensesAmt
CY Other Expenses	$18,958,053	CYOtherExpensesAmt
PY Total Expenses	$52,340,897	PYTotalExpensesAmt
CY Total Expenses	$57,447,260	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,169,003	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,773,503	CYRevenuesLessExpensesAmt
Total Assets BOY	$168,859,059	TotalAssetsBOYAmt
Total Assets EOY	$191,779,023	TotalAssetsEOYAmt
Total Liabilities BOY	$40,362,166	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$39,188,061	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$128,496,893	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$152,590,962	NetAssetsOrFundBalancesEOYAmt
Mission	As a leader in transitional healthcare, we provide exceptional services for children with complex medical needs by reimagining what is possible and inspiring life-changing solutions for patients and families.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$39,355,342	ExpenseAmt
Grant	$97,548	GrantAmt
Revenue	$64,921,991	RevenueAmt
Desc	During the current Fiscal Year, Ranken Jordan Provided 17,261 days of medical care for inpatients. 58% of inpatients were discharged to home to continued care by their families and have not needed admission to another care facility after the days of care provided. 89% of inpatients were 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	$5,402,682	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. Their 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 2,080 individuals were served by the community programs during the year.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,060,130	ExpenseAmt
Revenue	$1,633,655	RevenueAmt
Desc	DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 44,017 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	$46,818,154	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	Yes (true)	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	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	607	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	28	GoverningBodyVotingMembersCnt
Independent Voting Member	26	IndependentVotingMemberCnt
Family Or Business Rln	false	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 (35 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
Betsy Prosperi
Board Chair	5.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Mike Hart
Board Treasurer	5.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Nicholas A Holekamp MD
Chief Medical Officer	40.0	0.0	Yes (X)	Yes (X)	$406,537	$0	$37,594
Nick Williamson
Board Vice Chair	5.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Shawn D Dryden
President / Chief Executive Officer	38.0	2.0	Yes (X)	Yes (X)	$418,323	$0	$26,537
Thomas J Minogue
Board Secretary	5.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Bill Willhite
Emeritus Director	3.0	0.0	Yes (X)		$0	$0	$0
Bob Pritts
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Catina O'Leary
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Clarice Lewis-Patterson
Emeritus Director	3.0	0.0	Yes (X)		$0	$0	$0
David Hatfield
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Dawn Andrew
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Derek Glanville
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Eric Ham
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Jacob Risk
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Joseph P Logan
Emeritus Director	3.0	0.0	Yes (X)		$0	$0	$0
Kristin Hogan
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Kurt Sobush
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Megan Ottomeyer
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Mike Detwiler
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Pam Duffy
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Rabbi Mark Shook
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Richard A Vandergrift
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Roma Nemani-Bordewick
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Steven Cortopassi
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Steven Harpole
Emeritus Director	3.0	0.0	Yes (X)		$0	$0	$0
Thad Simons
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Walter Bazan
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
John Clagg
Chief Financial Officer	40.0	0.0		Yes (X)	$253,396	$0	$27,652
Kristin L Larose
Chief Nursing Officer	40.0	0.0			$199,409	$0	$32,603	Yes (X)
Amy C Zimmermann MD
Staff Physician	40.0	0.0			$266,259	$0	$11,603		Yes (X)
Eugene Evra MD
Staff Physician	36.0	0.0			$253,479	$0	$34,418		Yes (X)
LYNDA BRADY MD
MANAGER PHYSICIAN	40.0	0.0			$264,643	$0	$36,115		Yes (X)
Rod E Pellenberg MD
Staff Physician	40.0	0.0			$229,634	$0	$32,521		Yes (X)
Steven E Lindee
Chief Development Officer	0.0	40.0			$195,046	$0	$20,237		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,486,726	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$259,280	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	60	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	$1,648,828
ATB TECHNOLOGIES
14567 N OUTER FORTY RD	CHESTERFIELD	MO	63017	TECHNOLOGY	$630,464	STE 525
THOMPSON COBURN
505 N 7th St	ST LOUIS	MO	63101	LEGAL SERVICES	$263,841
FORVIS MAZARS LLP
PO BOX 200870	DALLAS	TX	753200870	ACCOUNTING	$109,231

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Fundraising	$66,833	FundraisingAmt
All Other Contributions	$3,858,982	AllOtherContributionsAmt
Noncash Contributions	$95,990	NoncashContributionsAmt
Total Contributions	$3,925,815	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT CARE	621110	$64,921,991	$64,921,991
OUTPATIENT CARE	621110	$1,633,655	$1,633,655

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	$66,555,646	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,201,053	TotalRevenueColumnAmt
Exclusion	$3,201,053	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	$2,313,582	SecuritiesAmt
Other	$19,990	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$990,012	SecuritiesAmt
Other	$10,179	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,323,570	SecuritiesAmt
Other	$9,811	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,333,381	TotalRevenueColumnAmt
Exclusion	$1,333,381	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$24,510	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$66,833	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$28,604	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,094	TotalRevenueColumnAmt
Exclusion	-$4,094	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$22,980	GamingGrossIncomeAmt
Gaming Direct Expenses	$4,574	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,406	TotalRevenueColumnAmt
Exclusion	$18,406	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$190,556	TotalRevenueColumnAmt
Exclusion	$190,556	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	$190,556	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,220,763	TotalRevenueColumnAmt
Related Or Exempt Func Income	$66,555,646	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,739,302	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$97,548	TotalAmt
Program Services	$97,548	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,498,258	TotalAmt
Program Services	$791,707	ProgramServicesAmt
Management And General	$706,551	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$26,266	TotalAmt
Program Services	$26,266	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,705,236	TotalAmt
Program Services	$25,287,564	ProgramServicesAmt
Management And General	$3,181,790	ManagementAndGeneralAmt
Fundraising	$1,235,882	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$992,381	TotalAmt
Program Services	$745,344	ProgramServicesAmt
Management And General	$213,263	ManagementAndGeneralAmt
Fundraising	$33,774	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,945,654	TotalAmt
Program Services	$2,966,709	ProgramServicesAmt
Management And General	$849,820	ManagementAndGeneralAmt
Fundraising	$129,125	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,223,864	TotalAmt
Program Services	$1,669,997	ProgramServicesAmt
Management And General	$482,139	ManagementAndGeneralAmt
Fundraising	$71,728	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$24,183	TotalAmt
Management And General	$24,183	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$118,174	TotalAmt
Management And General	$118,174	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$126,120	TotalAmt
Management And General	$126,120	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$32,286	TotalAmt
Management And General	$32,286	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,444,742	TotalAmt
Program Services	$1,509,584	ProgramServicesAmt
Management And General	$666,754	ManagementAndGeneralAmt
Fundraising	$268,404	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$320,691	TotalAmt
Program Services	$153	ProgramServicesAmt
Fundraising	$320,538	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$629,715	TotalAmt
Program Services	$426,949	ProgramServicesAmt
Management And General	$167,955	ManagementAndGeneralAmt
Fundraising	$34,811	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,321,775	TotalAmt
Program Services	$1,493,594	ProgramServicesAmt
Management And General	$784,269	ManagementAndGeneralAmt
Fundraising	$43,912	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,337,237	TotalAmt
Program Services	$1,243,630	ProgramServicesAmt
Management And General	$66,862	ManagementAndGeneralAmt
Fundraising	$26,745	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$47,966	TotalAmt
Program Services	$12,157	ProgramServicesAmt
Management And General	$25,806	ManagementAndGeneralAmt
Fundraising	$10,003	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$472,851	TotalAmt
Program Services	$101,316	ProgramServicesAmt
Management And General	$367,435	ManagementAndGeneralAmt
Fundraising	$4,100	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,522,832	TotalAmt
Program Services	$1,416,233	ProgramServicesAmt
Management And General	$76,142	ManagementAndGeneralAmt
Fundraising	$30,457	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,437,066	TotalAmt
Program Services	$2,266,472	ProgramServicesAmt
Management And General	$121,853	ManagementAndGeneralAmt
Fundraising	$48,741	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$166,012	TotalAmt
Program Services	$20,136	ProgramServicesAmt
Management And General	$145,876	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL AND PATIENT SUPPLIES	$3,658,600	$3,658,600
FRA FEES	$2,701,080	$2,701,080
REPAIRS AND MAINTENANCE	$357,144	$241,982	$95,391	$19,771
COMMUNITY OUTREACH	$130,130	$66,977	$2,787	$60,366

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$109,449	TotalAmt
Program Services	$74,156	ProgramServicesAmt
Management And General	$29,234	ManagementAndGeneralAmt
Fundraising	$6,059	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,447,260	TotalAmt
Program Services	$46,818,154	ProgramServicesAmt
Management And General	$8,284,690	ManagementAndGeneralAmt
Fundraising	$2,344,416	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$94	BOYAmt
EOY	$218	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,967,677	BOYAmt
EOY	$12,243,252	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$166,964	BOYAmt
EOY	$323,187	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,348,720	BOYAmt
EOY	$6,460,047	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	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$409,705	BOYAmt
EOY	$558,008	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,315,594	BOYAmt
EOY	$1,138,764	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$77,719,376	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$32,277,006	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$46,587,784	BOYAmt
EOY	$45,442,370	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$88,519,914	BOYAmt
EOY	$117,180,469	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,542,607	BOYAmt
EOY	$8,432,708	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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	$168,859,059	BOYAmt
EOY	$191,779,023	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,537,634	BOYAmt
EOY	$5,340,665	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$840,241	BOYAmt
EOY	$617,173	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,635,104	BOYAmt
EOY	$32,836,652	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

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	$0	BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$349,187	BOYAmt
EOY	$393,571	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,362,166	BOYAmt
EOY	$39,188,061	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	$125,876,177	BOYAmt
EOY	$148,156,992	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,620,716	BOYAmt
EOY	$4,433,970	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$128,496,893	BOYAmt
EOY	$152,590,962	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$168,859,059	BOYAmt
EOY	$191,779,023	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$17,773,503	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,320,566	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	$2,749,319	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,475,889	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,637,733	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,702,297	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,925,815	CurrentTaxYearAmt
Total	$19,491,053	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	$2,749,319	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,475,889	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,637,733	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,702,297	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,925,815	CurrentTaxYearAmt
Total	$19,491,053	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$313,420	SubstantialContributorsTotAmt
Public Support Total170	$19,177,633	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$718,532	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,005,913	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,547,951	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,250,995	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,201,053	CurrentTaxYearAmt
Total	$8,724,444	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	$207,985	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$196,738	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$208,439	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$370,881	CurrentTaxYearMinus1YearAmt
Current Tax Year	$238,046	CurrentTaxYearAmt
Total	$1,222,089	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$29,437,586	TotalSupportAmt
Gross Receipts Rltd Activities	$295,498,733	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.6515	PublicSupportCY170Pct
Public Support PY170	0.6954	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

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 - 207985.0, COLUMN B - 196738.0, COLUMN C - 208439.0, COLUMN D - 370881.0, COLUMN E - 238046.0, COLUMN F - 1222089.0;	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	$32,286	OtherActivitiesAmt
Total Lobbying Expenditures	$32,286	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 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	$3,408,478	BeginningYearBalanceAmt
Contributions	$122,843	ContributionsAmt
Investment Earnings Or Losses	$355,927	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,076	OtherExpendituresAmt
End Year Balance	$3,870,172	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,195,474	BeginningYearBalanceAmt
Contributions	$2,005,159	ContributionsAmt
Investment Earnings Or Losses	$274,899	InvestmentEarningsOrLossesAmt
Other Expenditures	$67,054	OtherExpendituresAmt
End Year Balance	$3,408,478	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.6028	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.3972	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	$55,916,842	OtherCostOrOtherBasisAmt
Depreciation	$17,724,565	DepreciationAmt
Book Value	$38,192,277	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,789,360	OtherCostOrOtherBasisAmt
Depreciation	$13,345,260	DepreciationAmt
Book Value	$3,444,100	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,653,997	OtherCostOrOtherBasisAmt
Depreciation	$1,207,181	DepreciationAmt
Book Value	$1,446,816	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$45,442,370	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED COMPENSATION LIABILITY	Desc
Amt	$393,571	Amt

Field	Value	IRS element (for citing)
Total Liability	$393,571	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$81,541,329	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$6,320,566	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$6,320,566	RevenueNotReportedAmt
Revenue Subtotal	$75,220,763	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$75,220,763	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$57,447,260	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$57,447,260	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$57,447,260	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS/ASC 740	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 V REVISED REPORTING FOR ENDOWMENTS	DURING PREPARATION OF THE 2023 FORM 990, IT WAS DISCOVERED THAT THE ENDOWMENT FUNDS PRIOR TO 2023 WERE ONLY REPORTED WITH RESTRICTIONS. THE CURRENT YEAR IS REVISED TO REPORT ENDOWMENT FUNDS WITH AND WITHOUT RESTRICTIONS, WITH THE CUMULATIVE ADJUSTMENT REFLECTED IN COLUMN B, LINE 1B.
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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Trivia	Event1Nm
Gross Receipts Event1	$25,938	GrossReceiptsEvent1Amt
Charitable Contri Event1	$23,603	CharitableContriEvent1Amt
Gross Revenue Event1	$2,335	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$1,175	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$101	OtherDirectExpensesEvent1Amt
Event2	Golf	Event2Nm
Gross Receipts Event2	$57,320	GrossReceiptsEvent2Amt
Charitable Contri Event2	$37,665	CharitableContriEvent2Amt
Gross Revenue Event2	$19,655	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$1,025	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$22,458	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$155	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$202	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$8,085	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$5,565	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$2,520	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$2,594	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$450	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$444	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$91,343	GrossReceiptsTotalAmt
Charitable Contributions Tot	$66,833	CharitableContributionsTotAmt
Gross Revenue Total Events	$24,510	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$1,025	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$26,227	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$605	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$747	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$28,604	DirectExpenseSummaryEventsAmt
Net Income Summary	-$4,094	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$22,980	GrossRevenueOtherGamingAmt
Rent Fclty Costs Other Gaming	$1,425	RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming	$3,149	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.0	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$22,980	GrossRevenueTotalGamingAmt
Rent Fclty Costs Total Gaming	$1,425	RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming	$3,149	OthDirectExpnssTotalGamingAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MO	StatesWhereGamingConductedCd
Licensed	false	LicensedInd
Explanation If No	NO TICKETS WERE SOLD AT THE EVENTS WHERE GAMING WAS CONDUCTED AND THEY ARE VIEWED AS FRIEND RAISERS FOR THE ORGANIZATION.	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (true)	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	0.0	GamingOwnFacilityPct
Gaming Other Facility	1.0	GamingOtherFacilityPct
Individual With Books	Laura Washburn	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Laura Washburn	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	Managed event accounting	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	false	CharitableDistributionRqrInd
Distributed	$0	DistributedAmt

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	$262,848	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$262,848	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,740,334	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,959,671	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	$47,003,182	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,959,671	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$262,848	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,320	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,320	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$426,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$426,720	NetCommunityBenefitExpnsAmt
Total Expense	0.0074	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)
Total Community Benefit Expns	$90,148	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,148	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$534,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$534,188	NetCommunityBenefitExpnsAmt
Total Expense	0.0093	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$47,537,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,959,671	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$797,036	NetCommunityBenefitExpnsAmt
Total Expense	0.0139	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	$464,015	BadDebtExpenseAmt
Bad Debt Expense Attributable	$464,015	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,850	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,070	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,220	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)
Website Address	WWW.RANKENJORDAN.ORG	WebsiteAddressTxt
State License	472-3	StateLicenseNum
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
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
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
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 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.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 VI, Line 6 AFFILIATION	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 $464,015.
Schedule H, Part V ADDITIONAL DISCLOSURE REGARDING 501(R)	DURING PREPARATION OF THE 2023 FORM 990, THE ORGANIZATION WAS ALERTED TO MINOR AND INADVERTENT ERRORS RELATED TO 501(R) COMPLIANCE. PRIOR TO FILING THE 2023 FORM 990, THE ORGANIZATION HAS RESOLVED THE DEFICIENCIES THROUGH THE FOLLOWING ACTION ITEMS: - 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/2024/12/Ranken-Jordan-Current-Providers-12-2024.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. 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, 7F, AND 7I 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 RECEIVABLES 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 APPLICABLE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS IS NOTE 2, WHICH BEGINS ON PAGE 12.
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 (6 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
GROUND TRANSPORT FOR PATIENT FAMILIES	52	$5,881
LODGING FOR OUT-OF-TOWN PARENTS	39	$8,121
INTERPRETER SERVICES/TRANSLATION FOR PATIENTS/FAMILIES THAT DO NOT SPEAK ENGLISH OR ARE HEARING IMPARED	17	$23,091
PERSONAL ITEMS FOR PATIENTS AND FAMILIES	34		$1,149	BOOK	PERSONAL ITEMS FOR PATIENTS AND FAMILIES
AIR TRANPORTATION FOR FAMILIES	37	$7,400
Uber - Rides for Patients	1900	$51,906

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
Shawn D Dryden
President / Chief Executive Officer	$393,323	$0	$25,000	$0	$0	$0	$0	$0	$26,537	$0	$444,860	$0	$0	$0
Nicholas A Holekamp MD
Chief Medical Officer	$383,206	$0	$23,331	$0	$0	$0	$13,200	$0	$24,394	$0	$444,131	$0	$0	$0
John Clagg
Chief Financial Officer	$230,065	$0	$23,331	$0	$0	$0	$11,177	$0	$16,475	$0	$281,048	$0	$0	$0
Kristin L Larose
Chief Nursing Officer	$176,078	$0	$23,331	$0	$0	$0	$9,995	$0	$22,608	$0	$232,012	$0	$0	$0
Eugene Evra MD
Staff Physician	$253,479	$0	$0	$0	$0	$0	$11,243	$0	$23,175	$0	$287,897	$0	$0	$0
Amy C Zimmermann MD
Staff Physician	$266,259	$0	$0	$0	$0	$0	$11,603	$0	$0	$0	$277,862	$0	$0	$0
Rod E Pellenberg MD
Staff Physician	$229,634	$0	$0	$0	$0	$0	$10,196	$0	$22,325	$0	$262,155	$0	$0	$0
Steven E Lindee
Chief Development Officer	$171,715	$0	$23,331	$0	$0	$0	$9,123	$0	$11,114	$0	$215,283	$0	$0	$0
LYNDA BRADY MD
MANAGER PHYSICIAN	$264,643	$0	$0	$0	$0	$0	$11,665	$0	$24,450	$0	$300,758	$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 IS A PARTICIPANT IN A 457(F) PLAN. THERE WERE NO ACCRUALS OR PAYMENTS MADE FOR THIS INDIVIDUAL 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, SHAWN DRYDEN, JOHN CLAGG, STEVEN LINDEE, 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	$3,987,075	RetiredAmt
Bond Defeased	$18,275,000	BondDefeasedAmt
Total Proceeds	$37,207,987	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$15,642,185	RefundingEscrowAmt
Issuance Costs From Proceeds	$519,597	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$21,565,802	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
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
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II SERIES 2016 BONDS	TOTAL PROCEEDS DIFFER FROM THE ISSUE PRICE OF THE BONDS BECAUSE OF INVESTMENT EARNINGS ON PROCEEDS IN THE REFUNDING ESCROW.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: IDA OF THE COUNTY OF ST LOUIS MISSOURI The calculation for computing no rebate due was performed on 09/01/2021

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	$26,266	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$46,803	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$25,474	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$328	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	OTHER	1	$6,956	Market value
Yes (X)	EVENT ITEMS	21	$16,429	Market value

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

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Column B	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS FOR ALL TYPES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 DAY TO DAY OPERATIONS OF THE COMPLIANCE PROGRAM, INCLUDING COORDINATION OF THE RECEIPT OF REPORTS OF NONCOMPLIANCE. THE ORGANIZATION CONTINUED TO HAVE A COMPLIANCE OFFICER/RISK MANAGER AS A FULL TIME POSITION DURING FISCAL YEAR 6/30/24.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RANKEN JORDAN PEDIATRIC HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	934896104	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RJHCCC	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	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
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	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd