2025-05-13T11:11:08+00:00 2024-06-30 440160260 Forvis Mazars LLP 211 N Broadway Suite 600 St Louis MO 631022733 990 2023-07-01 430666765 THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN RANK 3148726400 11365 DORSETT ROAD MARYLAND HEIGHTS MO 63043 SHAWN DRYDEN CHIEF EXECUTIVE OFFICER 3148726400 2025-05-13 true Kristen Hankins P01256574 3142315544 2025-05-13 2023 2025-03-06 01:10:19Z SHAWN DRYDEN 11365 DORSETT ROAD MARYLAND HEIGHTS MO 63043 76254132 false X WWW.RANKENJORDAN.ORG X 1941 MO 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. 28 26 607 125 0 0 4702297 3925815 67311681 66555646 2533489 4534434 -37567 204868 74509900 75220763 58676 97548 0 0 34226314 38391659 0 0 2344416 18055907 18958053 52340897 57447260 22169003 17773503 168859059 191779023 40362166 39188061 128496893 152590962 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. false false 39355342 97548 64921991 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. 5402682 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. 2060130 1633655 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. 46818154 true true false true false false false false true true false false false true false true false false false false false false false true true true true false true true true false false false false false false false false true false true false false false false true true false false false true 29 0 true 607 true false false false false false true true false false false false false false X 28 26 false false false false false false false true true false false true true true true true true true true false X THE ORGANIZATION 3148726400 11365 DORSETT ROAD MARYLAND HEIGHTS MO 63043 Betsy Prosperi Board Chair 5.0 0.0 X X 0 0 0 Mike Hart Board Treasurer 5.0 0.0 X X 0 0 0 Nicholas A Holekamp MD Chief Medical Officer 40.0 0.0 X X 406537 0 37594 Nick Williamson Board Vice Chair 5.0 0.0 X X 0 0 0 Shawn D Dryden President / Chief Executive Officer 38.0 2.0 X X 418323 0 26537 Thomas J Minogue Board Secretary 5.0 0.0 X X 0 0 0 Bill Willhite Emeritus Director 3.0 0.0 X 0 0 0 Bob Pritts Board Member 3.0 0.0 X 0 0 0 Catina O'Leary Board Member 3.0 0.0 X 0 0 0 Clarice Lewis-Patterson Emeritus Director 3.0 0.0 X 0 0 0 David Hatfield Board Member 3.0 0.0 X 0 0 0 Dawn Andrew Board Member 3.0 0.0 X 0 0 0 Derek Glanville Board Member 3.0 0.0 X 0 0 0 Eric Ham Board Member 3.0 0.0 X 0 0 0 Jacob Risk Board Member 3.0 0.0 X 0 0 0 Joseph P Logan Emeritus Director 3.0 0.0 X 0 0 0 Kristin Hogan Board Member 3.0 0.0 X 0 0 0 Kurt Sobush Board Member 3.0 0.0 X 0 0 0 Megan Ottomeyer Board Member 3.0 0.0 X 0 0 0 Mike Detwiler Board Member 3.0 0.0 X 0 0 0 Pam Duffy Board Member 3.0 0.0 X 0 0 0 Rabbi Mark Shook Board Member 3.0 0.0 X 0 0 0 Richard A Vandergrift Board Member 3.0 0.0 X 0 0 0 Roma Nemani-Bordewick Board Member 3.0 0.0 X 0 0 0 Steven Cortopassi Board Member 3.0 0.0 X 0 0 0 Steven Harpole Emeritus Director 3.0 0.0 X 0 0 0 Thad Simons Board Member 3.0 0.0 X 0 0 0 Walter Bazan Board Member 3.0 0.0 X 0 0 0 John Clagg Chief Financial Officer 40.0 0.0 X 253396 0 27652 Kristin L Larose Chief Nursing Officer 40.0 0.0 X 199409 0 32603 Amy C Zimmermann MD Staff Physician 40.0 0.0 X 266259 0 11603 Eugene Evra MD Staff Physician 36.0 0.0 X 253479 0 34418 LYNDA BRADY MD MANAGER PHYSICIAN 40.0 0.0 X 264643 0 36115 Rod E Pellenberg MD Staff Physician 40.0 0.0 X 229634 0 32521 Steven E Lindee Chief Development Officer 0.0 40.0 X 195046 0 20237 2486726 0 259280 60 false true false CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 CONSULT/ELEC HEALTH REC 1648828 ATB TECHNOLOGIES 14567 N OUTER FORTY RD STE 525 CHESTERFIELD MO 63017 TECHNOLOGY 630464 THOMPSON COBURN 505 N 7th St ST LOUIS MO 63101 LEGAL SERVICES 263841 FORVIS MAZARS LLP PO BOX 200870 DALLAS TX 753200870 ACCOUNTING 109231 4 66833 3858982 95990 3925815 INPATIENT CARE 621110 64921991 64921991 OUTPATIENT CARE 621110 1633655 1633655 0 0 0 0 66555646 3201053 3201053 0 0 2313582 19990 990012 10179 1323570 9811 1333381 1333381 24510 66833 28604 -4094 -4094 22980 4574 18406 18406 MISCELLANEOUS REVENUE 900099 190556 190556 0 0 0 0 190556 75220763 66555646 0 4739302 97548 97548 1498258 791707 706551 26266 26266 29705236 25287564 3181790 1235882 992381 745344 213263 33774 3945654 2966709 849820 129125 2223864 1669997 482139 71728 24183 24183 118174 118174 126120 126120 32286 32286 2444742 1509584 666754 268404 320691 153 320538 629715 426949 167955 34811 2321775 1493594 784269 43912 1337237 1243630 66862 26745 47966 12157 25806 10003 472851 101316 367435 4100 1522832 1416233 76142 30457 2437066 2266472 121853 48741 166012 20136 145876 MEDICAL AND PATIENT SUPPLIES 3658600 3658600 FRA FEES 2701080 2701080 REPAIRS AND MAINTENANCE 357144 241982 95391 19771 COMMUNITY OUTREACH 130130 66977 2787 60366 109449 74156 29234 6059 57447260 46818154 8284690 2344416 94 218 16967677 12243252 166964 323187 7348720 6460047 0 0 0 0 0 409705 558008 1315594 1138764 77719376 32277006 46587784 45442370 88519914 117180469 7542607 8432708 0 0 0 0 168859059 191779023 5537634 5340665 0 840241 617173 33635104 32836652 0 0 0 0 0 349187 393571 40362166 39188061 X 125876177 148156992 2620716 4433970 128496893 152590962 168859059 191779023 17773503 6320566 0 X false true X true false X 2749319 3475889 4637733 4702297 3925815 19491053 0 0 2749319 3475889 4637733 4702297 3925815 19491053 313420 19177633 718532 1005913 1547951 2250995 3201053 8724444 0 207985 196738 208439 370881 238046 1222089 29437586 295498733 0.6515 0.6954 X Schedule A, Part II, Line 10 Other Income 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; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 32286 32286 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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". 3408478 122843 355927 17076 3870172 1195474 2005159 274899 67054 3408478 727325 695109 -226960 1195474 319830 328415 79080 727325 272500 47330 319830 0.6028 0.3972 0.0 false false 759000 1600177 2359177 55916842 17724565 38192277 16789360 13345260 3444100 2653997 1207181 1446816 45442370 DEFERRED COMPENSATION LIABILITY 393571 393571 81541329 6320566 0 6320566 75220763 0 0 75220763 57447260 0 0 57447260 0 0 57447260 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. Trivia 25938 23603 2335 1175 101 Golf 57320 37665 19655 1025 22458 155 202 2 8085 5565 2520 2594 450 444 91343 66833 24510 1025 26227 605 747 28604 -4094 22980 1425 3149 true 1.0 22980 1425 3149 MO false NO TICKETS WERE SOLD AT THE EVENTS WHERE GAMING WAS CONDUCTED AND THEY ARE VIEWED AS FRIEND RAISERS FOR THE ORGANIZATION. false true false 0.0 1.0 Laura Washburn 11365 DORSETT ROAD MARYLAND HEIGHTS MO 63043 false Laura Washburn 0 Managed event accounting X false 0 true true true X true X true true false true true 262848 262848 0.0046 46740334 61959671 0 0.0 0 0.0 0 0 47003182 61959671 262848 0.0046 17320 17320 0.0003 426720 426720 0.0074 0 0.0 0 0.0 90148 90148 0.0016 0 0 534188 0 534188 0.0093 0 0 47537370 61959671 797036 0.0139 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 464015 464015 22850 35070 -12220 X true true 1 1 THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN 11365 DORSETT ROAD MARYLAND HEIGHTS MO 63043 WWW.RANKENJORDAN.ORG 472-3 X X PEDIATRIC SPECIALTY HOSPITAL THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN 1 false false true X X X X X X X X X 22 true false false true X HTTPS://RANKENJORDAN.ORG/ABOUT-US/ X true 22 true HTTPS://RANKENJORDAN.ORG/ABOUT-US/ false true X 200.0 400.0 X X true true X X X X true X HTTPS://RANKENJORDAN.ORG/FAMILY-RESOURCES/FINANCIAL-INFORMATION-AND-ASSISTANCE/ X HTTPS://RANKENJORDAN.ORG/FAMILY-RESOURCES/FINANCIAL-INFORMATION-AND-ASSISTANCE/ X HTTPS://RANKENJORDAN.ORG/FAMILY-RESOURCES/FINANCIAL-INFORMATION-AND-ASSISTANCE/ X X X X X true X false X false X X false false 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. 0 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. true GROUND TRANSPORT FOR PATIENT FAMILIES 52 5881 LODGING FOR OUT-OF-TOWN PARENTS 39 8121 INTERPRETER SERVICES/TRANSLATION FOR PATIENTS/FAMILIES THAT DO NOT SPEAK ENGLISH OR ARE HEARING IMPARED 17 23091 PERSONAL ITEMS FOR PATIENTS AND FAMILIES 34 1149 BOOK PERSONAL ITEMS FOR PATIENTS AND FAMILIES AIR TRANPORTATION FOR FAMILIES 37 7400 Uber - Rides for Patients 1900 51906 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X X X X X X false true false false false false false true false Shawn D Dryden President / Chief Executive Officer 393323 0 25000 0 0 0 0 0 26537 0 444860 0 0 0 Nicholas A Holekamp MD Chief Medical Officer 383206 0 23331 0 0 0 13200 0 24394 0 444131 0 0 0 John Clagg Chief Financial Officer 230065 0 23331 0 0 0 11177 0 16475 0 281048 0 0 0 Kristin L Larose Chief Nursing Officer 176078 0 23331 0 0 0 9995 0 22608 0 232012 0 0 0 Eugene Evra MD Staff Physician 253479 0 0 0 0 0 11243 0 23175 0 287897 0 0 0 Amy C Zimmermann MD Staff Physician 266259 0 0 0 0 0 11603 0 0 0 277862 0 0 0 Rod E Pellenberg MD Staff Physician 229634 0 0 0 0 0 10196 0 22325 0 262155 0 0 0 Steven E Lindee Chief Development Officer 171715 0 23331 0 0 0 9123 0 11114 0 215283 0 0 0 LYNDA BRADY MD MANAGER PHYSICIAN 264643 0 0 0 0 0 11665 0 24450 0 300758 0 0 0 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. A IDA OF THE COUNTY OF ST LOUIS MISSOURI 431170145 79130GJC6 2016-09-26 37207987 REFUNDING SERIES 2007 BONDS EXPANSION true false false A 3987075 18275000 37207987 0 0 15642185 519597 0 0 21565802 0 0 2017 true false true true A false false false false 0.0 0.0 0.0 false false true A false false false true false false false false true A true 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 ELLEN NAHLIK FAMILY MEMBER OF BOARD MEMBER 26266 EMPLOYMENT false X 46803 Market value X 2 25474 Market value X 2 328 Market value X OTHER 1 6956 Market value X EVENT ITEMS 21 16429 Market value 0 false false false Schedule M, Part I Column B THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS FOR ALL TYPES. 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. RANKEN JORDAN PEDIATRIC HOSPITAL FOUNDATION 11365 DORSETT ROAD SAINT LOUIS MO 63043 934896104 FUNDRAISING MO 501(c)(3) 7 RJHCCC true false false false false false false false false false false false false false false false false false false false