2025-08-11T14:48:05-05:00 2024-09-30 430352985 KERBER ECK & BRAECKEL LLP 3401 OFFICE PARK DRIVE MARION IL 62959 990 2023-10-01 430633449 MISSOURI DELTA MEDICAL CENTER MISS 5734711600 1008 NORTH MAIN ST SIKESTON MO 638015044 JASON SCHRUMPF PRESIDENT 5734711600 2025-08-08 1 1 AMBER HALSTEAD P01343727 6189938724 2025-08-08 2023 2025-03-06 01:10:19Z JASON SCHRUMPF 1008 NORTH MAIN ST SIKESTON MO 638015044 160617338 0 X WWW.MISSOURIDELTA.COM X 1948 MO MISSOURI DELTA MEDICAL CENTER IS A NOT FOR PROFIT CORPORATION WHICH STRIVES TO PROVIDE A COMPLETE HEALTH CARE SYSTEM TO RESIDENTS IN THE SERVICE AREA EITHER DIRECTLY OR IN COOPERATION WITH OTHERS. 19 16 1119 10 0 0 1512651 1246095 125325644 131660772 1379117 822233 16807243 26888238 145024655 160617338 10000 5000 0 0 72577450 83520972 0 0 0 71966361 79779223 144553811 163305195 470844 -2687857 96040236 98009230 39229154 43562869 56811082 54446361 X MISSOURI DELTA MEDICAL CENTER IS A NOT FOR PROFIT CORPORATION WHICH WILL STRIVE TO PROVIDE A COMPLETE HEALTH CARE SYSTEM TO RESIDENTS IN THE SERVICE AREA EITHER DIRECTLY OR IN COOPERATION WITH OTHERS. REFERRAL AGREEMENTS WILL BE SOUGHT FOR SERVICES NOT OFFERED LOCALLY. THE HOSPITAL WILL ALSO ACTIVELY OFFER OR SUPPORT APPROPRIATE PROGRAMS TO PROMOTE THE GENERAL HEALTH, AND TO MEET THE REHABILITATION, EDUCATIONAL AND SOCIAL NEEDS OF OUR SERVICE AREA. SERVICES WILL BE PROVIDED TO ALL RESIDENTS OF OUR SERVICE AREA REGARDLESS OF RACE, COLOR, RELIGION, SEX, AGE, NATIONAL ORIGIN, OR DISABILITY. 0 0 129347422 5000 131662772 MISSOURI DELTA MEDICAL CENTER PROVIDES QUALITY MEDICAL CARE TO THE RESIDENTS OF ITS COMMUNITY REGARDLESS OF ABILITY TO PAY. MDMC ALSO PROVIDES SHORT TERM REHABILITATION SERVICES THROUGH AN ACUTE IP REHABILITATION UNIT AND PSYCHIATRIC SERVICES THROUGH AN ACUTE IP GERIATRIC PSYCHIATRIC UNIT AND AN ADOLESCENT PSYCHIATRIC UNIT. THESE SERVICES ARE SUMMARIZED AS FOLLOWS:HOSPITAL: ACUTE INPATIENT ADMISSIONS 3,180ACUTE INPATIENT DAYS 13,359 GERIATRIC PSYCH INPATIENT ADMISSIONS 337GERIATRIC PSYCH INPATIENT DAYS 3,393REHAB INPATIENT ADMISSIONS 116REHAB INPATIENT DAYS 1,204ADOLESCENT PSYCH INPATIENT ADMISSIONS 273ADOLESCENT PSYCH INPATIENT DAYS 1,361EMERGENCY ROOM VISITS 21,149 LABORATORY TESTS PERFORMED 436,265 RADIOLOGY EXAMS PERFORMED 56,498 PT, OT, ST TREATMENTS 115,768 PHYSICIAN OFFICE VISITS 84,090 RURAL HEALTH CLINIC VISITS 103,756 THE HOSPITAL PROVIDED FREE CARE TO INDIGENT PATIENTS IN THE AMOUNTOF $498,998 VALUED AT BILLED CHARGES. THE HOSPITAL ALSO PROVIDED NUMEROUS FREE PROGRAMS AND REDUCED PRICE SERVICES THROUGHOUT THE YEAR THAT THE HOSPITAL BELIEVES SERVES A COMMUNITY NEED. SERVICES PROVIDED FREE OF CHARGE OR BELOW COST TO THE GENERAL PUBLIC INCLUDE:1. PERIODIC BLOOD PRESSURE AND CHOLESTEROL SCREENINGS2. OUTPATIENT DIABETIC EDUCATION AND OTHER HEALTH EDUCATION CLASSES3. CHILDBIRTH CLASSES, FIRST AID CLASSES AND CPR COURSES4. RED CROSS BLOOD DRIVES5. HEALTH EDUCATION ARTICLES IN THE LOCAL NEWSPAPER 6. FREE SKIN CANCER SCREENINGS 129347422 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 1 202 0 1 1119 1 0 0 0 0 0 0 0 0 0 0 X 19 16 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MO X GREG CARDA 5734727604 1008 NORTH MAIN STREET SIKESTON MO 638015044 BART GRANT DIRECTOR 1.00 X 0 0 0 BRETT MATTHEWS DIRECTOR 1.00 X 0 0 0 BRIAN MENZ DIRECTOR 1.00 X 0 0 0 BRITT MCCONNELL DIRECTOR 1.00 X 0 0 0 CHARLES D JENNINGS JR DIRECTOR 1.00 X 0 0 0 DAVID JONES DIRECTOR 1.00 X 0 0 0 DWIGHT BIZZELL DIRECTOR 1.00 X 0 0 0 EDWARD DEMENT DIRECTOR 1.00 X 0 0 0 ELIZABETH JOHNSON DIRECTOR 1.00 X 0 0 0 JOHN BOLLINGER DIRECTOR 1.00 X 0 0 0 LEVEN COX DIRECTOR 1.00 X 0 0 0 MICHAEL JONES DIRECTOR 1.00 X 0 0 0 MIKE MARSHALL DIRECTOR 1.00 X 0 0 0 REBECCA FIELDS DIRECTOR 1.00 X 0 0 0 TAMMY BURCH DIRECTOR 1.00 X 0 0 0 DANIEL DEKE LAPE TREASURER 1.00 X 0 0 0 GREG CARDA VP. FINANCE 40.00 X 240799 0 10189 JASON SCHRUMPF PRESIDENT/CEO 40.00 X 453311 0 9656 JOEL PATRICK EVANS VICE CHAIRMAN 1.00 X 0 0 0 MATHEW DRAKE SECRETARY 1.00 X 0 0 0 MATT TANNER CHAIRMAN 1.00 X 0 0 0 JAMES HENSON SENIOR VICE PRESIDENT 40.00 X 270625 0 10576 JULIE FRASER VP, NURSING 40.00 X 244442 0 10569 DR BRANDON COVERT PHYSICIAN 40.00 X 1468325 0 3450 DR KENNETH MOY PHYSICIAN 40.00 X 739835 0 9821 DR ANIMESH SAHAI PHYSICIAN 40.00 X 773051 0 10256 DR PAUL MONTANY PHYSICIAN 40.00 X 783174 0 6500 DR RUDY RODRIGUEZ PHYSICIAN 40.00 X 1539321 0 13085 6512883 0 84102 112 0 1 0 PENZEL CONSTRUCTION CO 325 W JACKSON BLVD JACKSON MO 63755 CONSTRUCTION 4586834 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 303682289 DIETARY SERVICES 2076242 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND ST SUITE 300 OMAHA NE 68114 CONTRACTED NURSES 1739835 RESOURCE ANESTHESIOLOGY ASSOCIATES 450 MAMARONECK AVENUE HARRISON NY 11528 ANESTHESIA SERVICES 1691550 LIQUID AGENTS HEALTHCARE LLC PO BOX 206831 DALLAS TX 753206831 CONTRACTED NURSES 1217617 46 834209 411886 1246095 NET PATIENT SERVICE REVENUE 621110 131660772 131660772 131660772 820233 820233 2000 0 2000 2000 2000 EMPLOYEE PHARMACY SALES 722514 22083876 22083876 340 B PHARMACY PROGRAM 621110 5618110 5618110 OTHER OPERATING REVENUE 621990 2583034 2583034 -3396782 -3396782 26888238 160617338 131662772 0 27708471 5000 5000 1222349 1222349 65450581 58672178 6778403 450255 396224 54031 12004106 10563613 1440493 4393681 3866439 527242 36980 25886 11094 191656 134159 57497 7014063 4909844 2104219 63161 44213 18948 1849931 1293452 556479 4379860 3065902 1313958 179036 125325 53711 80736 56515 24221 600741 420519 180222 5283796 3698657 1585139 1558336 1090835 467501 MEDICAL SUPPLIES 37501498 26251049 11250449 PURCHASED SERVICES 16165847 11316093 4849754 REPAIRS AND MAINTENANCE 2414603 1690222 724381 OTHER 1113498 779460 334038 1345481 941837 403644 163305195 129347422 33957773 0 4052233 1900830 2665945 3366437 20865378 23588288 232131 467696 4177738 4347520 3730942 5964630 152083317 95343055 58600602 56740262 760000 680000 955267 953567 96040236 98009230 12668974 14210279 2249115 13641368 12522259 3756332 3591271 9162480 10989945 39229154 43562869 X 56811082 54446361 56811082 54446361 96040236 98009230 -2687857 323136 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 13462 0 0 0 13462 0 8018099 834408 8852507 65449822 33138830 32310992 76338955 61171412 15167543 1442033 1032813 409220 56740262 PROFESSIONAL LIABILITY 498425 DUE TO THIRD PARTY 10449996 INTEREST PAYABLE 41524 10989945 X 160940474 323136 323136 160617338 0 160617338 163305243 48 48 163305195 0 163305195 PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION OPERATING EXPENSES 1 1 1 X 1 X 180.000000000000 1 1 1 0 1 1 876177 876177 0.00540 26301969 22126341 4175628 0.02560 27178146 22126341 5051805 0.03100 76010 76010 0.00050 76010 76010 0.00050 27254156 22126341 5127815 0.03150 1 14800925 25515127 29650995 -4135868 X 1 1 1 1 MISSOURI DELTA MEDICAL CENTER 1008 NORTH MAIN STREET SIKESTON MO 63801 X X MISSOURI DELTA MEDICAL CENTER 1 0 0 1 X X X X X X X X 22 1 1 1 1 X WWW.MISSOURIDELTA.COM X 1 22 1 WWW.MISSOURIDELTA.COM 0 1 X 100.000000000000 180.000000000000 X 1 1 X X X 1 X WWW.MISSOURIDELTA.COM X X 1 X X X 1 X X X X X 1 0 0 MISSOURI DELTA MEDICAL CENTER PART V, SECTION B, LINE 6A: FOR THE PURPOSES OF THE ASSESSMENT, COMMUNITY IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF PATIENTS USING MDMC SERVICES RESIDE. THE PRIMARY SERVICE AREA FOR MDMC IS BASED ON THE NUMBER OF INPATIENT DISCHARGES AND OUTPATIENT VISITS BY PATIENTS THAT RESIDE IN SCOTT, MISSISSIPPI AND NEW MADRID COUNTIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR SCOTT COUNTY WAS CONDUCTED IN PARTNERSHIP WITH SAINT FRANCIS MEDICAL CENTER. AS MISSISSIPPI COUNTY AND NEW MADRID COUNTY WERE THE PRIMARY SERVICE AREAS OF MDMC ALONE THE CHNA WAS NOT CONDUCTED IN PARTERNSHIP WITH SAINT FRANCIS MEDICAL CENTER. MISSOURI DELTA MEDICAL CENTER PART V, SECTION B, LINE 6B: FOR PURPOSES OF THE ASSESSMENT, THE HOSPITAL COLLECTED DATA FROM A VARIETY OF LOCAL, COUNTY, STATE AND NATIONAL RESOURCES IN ORDER TO PROFILE THE DEMOGRAPHICS, SOCIAL/ECONOMIC FACTORS, HEALTH STATUS AND ACCESS TO HEALTHCARE IN COMMUNITIES SERVICED. INDIVIDUALS REPRESENTING THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE PRIMARY RESEARCH IN SCOTT COUNTY: (1) BOOTHEEL COUNSELING SERVICES; (2) MISSOURI HOUSE OF REPRESENTATIVES; (3) AMERICAN RED CROSS; (4) FERGUSON MEDICAL GROUP; (5) SCOTT COUNTY HEALTH DEPARTMENT; (6) SEMO HEALTH NETWORK; (7) SIKESTON REGIONAL CHAMBER; (8) SCOTT COUNTY CENTRAL SCHOOLS. INDIVIDUALS REPRESENTING THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE PRIMARY RESEARCH IN NEW MADRID COUNTY: (1) NEW MADRID COUNTY HEALTH DEPARTMENT; (2) BOOTHEEL COUNSELING; (3) SEMO HEALTH NETWORK. INDIVIDUALS REPRESENTING THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE PRIMARY RESEARCH IN MISSISSIPPI COUNTY: (1) MISSISSIPPI COUNTY HEALTH DEPARTMENT; (2) L&S PHARMACY; (3) MISSOURI WOMEN, INFANTS AND CHILDREN (WIC). MISSOURI DELTA MEDICAL CENTER PART V, SECTION B, LINE 11: MEMBERS OF THE MISSOURI DELTA CHNA TEAM ANALYZED THE SURVEY DATA, FOCUS GROUP DATA, AND SECONDARY DATA TO PRIORITIZE THE COMMUNITY HEALTH NEEDS FOR MISSISSIPPI, NEW MADRID AND SCOTT COUNTIES. THE TOP FIVE PRIORITY NEEDS INCLUDE:1. CHILD AND ADULT OBESITY2. CHRONIC DISEASE A. DIABETES (DIET AND EXERCISE)B. CHRONIC RESPIRATORY DISEASE (SMOKING)C. HEART DISEASE (SMOKING/DIET AND EXERCISE)D. STROKE (HEALTHY LIFESTYLE)3. CANCER (SMOKING)4. MENTAL ILLNESS5. DRUG AND ALCOHOL ABUSECHILD AND ADULT OBESITY:SPECIFIC STRATEGIES INCLUDE EDUCATIONAL ACTIVITY BOOKS GEARED TOWARD FAMILIES WHICH INCLUDES HEALTHY EATING HABITS. BOOKS WILL BE AVAILABLE IN MDMC CLINIC WAITING ROOMS AND THE EMERGENCY ROOM. CREATION OF FITKIDZ THROUGH POSTERS, HANDOUTS, TV LOBBY, AND HEALTH FAIRS. CONTINUE TO HOLD CHRONIC DISEASE EDUCATIONAL WORKSHOPS AT MISSOURI DELTA MEDICAL CENTER. CONTINUE TO IDENTIFY PATIENTS IN NEED OF ATTENDING CHRONIC DESEASE EDUCATION WORKSHOPS OFFERED. PROVIDE SPEAKERS/PRESENTERS ABOUT HEALTHY EATING AT EVENTS SUCH AS THE ANNUAL WOMEN'S SHOW AND THE ANNUAL WOMEN'S HEALTH CONFERENCE. PARTICIPATE IN THE ANNUAL HEALTHY KIDS DAY PROGRAM AT THE YMCA WITH EDUCATIONAL DIETARY INFORMATION. PARTNER WITH STRATUS MEDICAL GROUP WITH PROMOTION OF THEIR HEALTHY WEIGHT MANAGEMENT PROGRAM. CHRONIC DISEASE: SPECIFIC STRATEGIES INCLUDE TO CONTINUE OFFERING CHRONIC DISEASE EDUCATIONAL WORKSHOPS AND PROMOTING THOSE THROUGH THE PHYSICIANS, CASE MANAGERS AND OTHER CIVIC ORGANIZATIONS. CONTINUE TO PROVIDE FREE PUBLIC HEALTH SCREENINGS AT HEALTH FAIRS THROUGHOUT THE COUNTIES WE SERVE; BLOOD PRESSURE, GLUCOSE, LUNG. POPULATION HEALTH WORKING THROUGH OUTREACH TO HELP EDUCATE PATIENTS AND PREVENT READMISSIONS. WORK WITH LOCAL HEALTH DEPARTMENTS IN EACH COUNTY TO PROMOTE THEIR DIABETES SUPPORT GROUPS AND SELF-HELP PROGRAMS. CANCER: SPECIFIC STRATEGIES INCLUDE TO CONTINUE TO PROMOTE SMOKING-CESSATION PROGRAMS THE LOCAL HEALTH DEPARTMENTS ARE PROVIDING AND EDUCATE MEDICAL PROVIDERS ON THE RESOURCES AVAILABLE FOR PATIENTS WHO WANT TO QUIT TOBACCO USAGE. MENTAL ILLNESS AND DRUG AND ALCOHOL ABUSE:SPECIFIC STRATEGIES INCLUDE TO PARTNER WITH BOOTHEEL COUNSELING IN PROVIDING MENTAL HEALTH FIRST AID PROGRAMS TO AREA EMPLOYERS. THIS PROGRAM INTRODUCES PARTICIPANTS TO RISK FACTORS AND WARNING SIGNS OF MENTAL ILLNESS. CONTINUE TO SUPPORT THE MENTAL HEALTH COUNSELORS IMPLEMENTED IN MDMC'S RURAL HEALTH CLINICS IN SIKESTON AND NEW MADRID. PARTNER WITH PHARMACIES THAT OFFER A MEDICATION RECONCILIATION PROGRAM IN WHICH THE PHARMACIST VISITS THE PATIENT'S HOME AND COMPARES HOME MEDS WITH DISCHARGE MEDS TO ENSURE NO DISCREPANCIES. 37 1 - RESTART OF SIKESTON 1008 NORTH MAIN STREET SIKESTON MO 63801 PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY 2 - RESTART OF CHARLESTON 512 EAST MARSHALL STREET CHARLESTON MO 63834 PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY 3 - RESTART OF NEW MADRID 406 HIGHWAY 61 NEW MADRID MO 63869 PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY 4 - RESTART OF EAST PRAIRIE 106 SOUTH WASHINGTON EAST PRAIRIE MO 63845 PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY 5 - EXPRESS CARE 1008 NORTH MAIN STREET SIKESTON MO 63801 RURAL HEALTH CLINIC 6 - BARTON-JOLLY PHYSICIAN SERVICES 1019 NORTH MAIN STREET SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 7 - MISSOURI DELTA PRIMARY CARE 102 HOSPITALITY DRIVE SIKESTON MO 63801 RURAL HEALTH CLINIC 8 - MISSOURI DELTA ORTHOPEDICS 201 PLAZA DRIVE SUITE A SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 9 - MISSOURI DELTA WOUND & HYPERBARIC 201 PLAZA DRIVE SIKESTON MO 63801 WOUND CARE CENTER 10 - SMITH STREET CLINIC 123 SMITH STREET SIKESTON MO 63801 RURAL HEALTH CLINIC 11 - WELLPOINT PAIN CENTER 135 PLAZA DRIVE SUITE 201 SIKESTON MO 63801 PAIN CENTER 12 - WOMEN'S CARE CENTER 1013 NORTH MAIN STREET SIKESTON MO 63801 RURAL HEALTH CLINIC 13 - MISSOURI DELTA UROLOGY 1106 NORTH MAIN STREET SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 14 - MISSOURI DELTA CANCER & INFUSION CENTER 1126 NORTH MAIN STREET SIKESTON MO 63801 CANCER AND INFUSION CENTER 15 - PORTAGEVILLE COMMUNITY CARE CENTER 204 EAST 3RD STREET PORTAGEVILLE MO 63873 RURAL HEALTH CLINIC 16 - SPECIALTY CLINIC 135 PLAZA DRIVE SUITE 102 SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 17 - DERMATOLOGY 1015 NORTH MAIN SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 19 - FAMILY MEDICINE 1017 NORTH MAIN SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 20 - ENT & ALLERGY CLINIC 135 PLAZA DRIVE SUITE 202 SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 21 - MISSOURI DELTA ENDOCRINE & DIABETES CENT 1118 NORTH MAIN STREET SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 22 - NEW MADRID COMMUNITY CARE CENTER 615 MAIN STREET NEW MADRID MO 63834 RURAL HEALTH CLINIC 23 - MISSOURI DELTA GASTROENTEROLOGY 23 DOCTORS PARK DRIVE CAPE GIRARDEAU MO 63701 PHYSICIAN OFFICE BUILDING 24 - MISSOURI DELTA GASTROENTEROLOGY 135 PLAZA SUITE DRIVE SUITE 102 SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 25 - BENTON COMMUNITY CARE CENTER 6468 STATE HWY 77 BENTON MO 63736 RURAL HEALTH CLINIC 26 - CHARLESTON COMMUNITY CARE CENTER 1403 EAST MARSHALL STREET CHARLESTON MO 63834 RURAL HEALTH CLINIC 27 - MEDX MEDICAL EQUIPMENT 708 N MAIN STREET SIKESTON MO 63801 DURABLE MEDICAL EQUIPMENT 28 - DEXTER COMMUNITY CARE CENTER 911B WEST BUS HWY 60 DEXTER MO 63841 RURAL HEALTH CLINIC 29 - CHAFFEE MEDICAL CENTER 209 WEST YOAKUM CHAFFEE MO 63740 RURAL HEALTH CLINIC 30 - AUDIOLOGY 135 PLAZA DRIVE SUITE 202 SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 31 - SURGEONS NORTH 1124 NORTH MAIN STREET SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 31 - PODIATRY 201 PLAZA DRIVE SUITE A SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 32 - GYNECOLOGIC ONCOLOGY 201 PLAZA DRIVE SUITE C SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 33 - MISSOURI DELTA OCCUPATIONAL MEDICINE 135 PLAZA DRIVE SUITE 202 SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 34 - NEPHROLOGY 1008 NORTH MAIN STREET SIKESTON MO 63801 TELEMEDICINE 35 - CHIROPRACTOR 135 PLAZA DRIVE SUITE 201 SIKESTON MO 63801 PHYSICIAN OFFICE BUILDING 36 - RESTART SOUTH 806 SOUTH KINGSHIGHWAY SIKESTON MO 63801 PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY 37 - MALDEN PRIMARY CARE 412 BROADWATER ROAD MALDEN MO 63863 PHYSICIAN OFFICE BUILDING PART III, LINE 2: THE CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. PART III, LINE 8: IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUONT REPORTED ON LINE 6 IS ESTIMATED BY USING THE PERCENT OF OPERATING EXPENSE TO PATIENT REVENUE. PART III, LINE 9B: THE BAD DEBT POLICY STATES THAT IF IT IS DETERMINED THAT A PATIENT IS INDIGENT, PROCEED AS FOLLOWS: A. COMPLETE ACCOUNT ADJUSTMENT FORMS FOLLOWING ACCOUNT ADJUSTMENT PROCEDURES OR NOTE THE BALANCE WILL BE WRITTEN OFF AS CHARITY ACCORDING TO THE CHARITY CARE POLICY.B. ENTER THE FOLLOWING NOTATIONS ON THE COPY OF THE PATIENT ACCOUNTS ADMISSION REGISTRATION FORMS OR IN ACCOUNTS RECEIVABLE NOTES IN THE COMPUTER: "CHARGES DUE BY PATIENT WILL BE WRITTEN OFF AS MEDICARE BAD DEBT OR UNCOMPENSATED CARE." 1 RAY CLINTON HEALTHCARE SCHOLARSHIPS 2 2000 COOPER SCHOLARSHIPS 2 2000 BRUCE MEMORIAL SCHOLARSHIPS 1 1000 PART I, LINE 2: THE SCHOLARSHIP PROGRAM IS DESIGNED TO PROVIDE A CONSISTENT FLOW OF REGISTERED NURSES TO MISSOURI DELTA MEDICAL CENTER. THE OBJECTIVE OF THE PLAN IS TO ENCOURAGE AND FINANCIALLY ASSIST QUALIFIED STUDENTS IN THEIR ENDEAVOR TO BECOME A REGISTERED NURSE. TO THE EXTENT OF AVAILABLE FUNDS, THE MEDICAL CENTER WILL PAY SCHOLARSHIPS TO QUALIFIED STUDENTS OF AN ACCREDITED REGISTERED NURSE PROGRAM. TO QUALIFY FOR THE PROGRAM A STUDENT MUST: A. BE A HIGH SCHOOL GRADUATE 1. RANK IN THE UPPER THIRD OF HIGH SCHOOL CLASS ACADEMICALLY 2. SHOW EVIDENCE OF MOTIVATION FOR NURSING EITHER BY APTITUDE TESTING OR BY REPORTED DEMONSTRATION OF INTEREST 3. PROVIDE LETTER OF RECOMMENDATION FROM AN APPROPRIATE SCHOOL OFFICIAL 4. BE APPROVED BY THE HOSPITAL SCHOLARSHIP SELECTION COMMITTEE B. STUDENT NURSES - ALL STUDENT NURSES MUST: 1. HAVE AT LEAST THE EQUIVALENT OF A 2.5 GRADE POINT AVERAGE IN A 4 POINT SYSTEM 2. MUST PROVIDE A LETTER OF RECOMMENDATION FROM A RESPONSIBLE AND APPROPRIATE PERSON 3. BE APPROVED BY THE SCHOLARSHIP COMMITTEE C. CURRENT EMPLOYEES - ALL CURRENT EMPLOYEES MUST: 1. BE ENROLLED IN A NURSING PROGRAM AS A FULL-TIME STUDENT 2. NOT BE RECEIVING ANY HOSPITAL BENEFITS 3. BE APPROVED BY THE SCHOLARSHIP COMMITTEE X 0 0 X X X X 0 0 0 0 0 0 0 0 0 DR RUDY RODRIGUEZ PHYSICIAN 835306 0 681235 0 22780 0 3450 0 9635 0 1552406 0 0 0 DR BRANDON COVERT PHYSICIAN 550014 0 917903 0 408 0 3450 0 0 0 1471775 0 0 0 DR PAUL MONTANY PHYSICIAN 377808 0 380622 0 24744 0 3450 0 3050 0 789674 0 0 0 DR ANIMESH SAHAI PHYSICIAN 470706 0 278673 0 23672 0 3450 0 6806 0 783307 0 0 0 DR KENNETH MOY PHYSICIAN 371133 0 345030 0 23672 0 3450 0 6371 0 749656 0 0 0 JASON SCHRUMPF PRESIDENT/CEO 343797 0 88014 0 21500 0 3450 0 6206 0 462967 0 0 0 JAMES HENSON SENIOR VICE PRESIDENT 240666 0 29839 0 120 0 2670 0 7906 0 281201 0 0 0 JULIE FRASER VP, NURSING 218212 0 25714 0 516 0 2437 0 8132 0 255011 0 0 0 GREG CARDA VP. FINANCE 216257 0 23761 0 781 0 2366 0 7823 0 250988 0 0 0 RITA HENSON SPOUSE OF SENIOR VICE PRESIDENT 42256 EMPLOYEE COMPENSATION 0 DR LACEY YOUNG DAUGHTER-IN-LAW OF VP OF NURSING 247443 EMPLOYEE COMPENSATION 0 RAYMOND EARL SISK SON-IN-LAW OF DIRECTOR 238685 EMPLOYEE COMPENSATION 0 CATHERINE S SCHRUMPF SPOUSE OF PRESIDENT 16592 EMPLOYEE COMPENSATION 0 RHONDA MENZ WIFE OF DIRECTOR 34067 EMPLOYEE COMPENSATION 0 JUDITH MENZ MOTHER OF DIRECTOR 94315 EMPLOYEE COMPENSATION 0 DEKE LAPE DIRECTOR 79333 INSURANCE POLICIES 0 JAMES HUX LEGAL COUNCIL 25875 LEGAL SERVICES 0 ELIZABETH JOHNSON DIRECTOR 79333 INSURANCE POLICIES 0 DWIGHT BIZZELL DIRECTOR 53020 LAWN CARE SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 CEO JASON SCHRUMPF'S WIFE, KATHRYN, IS AN MDMC PHYSICAL THERAPIST. VP/COO JIM HENSON'S WIFE, RITA, IS EMPLOYED AS AN MDMC MEDICAL CODER. DIRECTOR BRIAN MENZ'S WIFE, RHONDA, IS AN EXECUTIVE ASSISTANT FOR MDMC'S PHYSICIAN SERVICES, AND HIS MOTHER IS A NURSE PRACTITIONER FOR MDMC'S PHYSICIAN SERVICES. DIRECTOR DEE BIZZELL'S LAWN SERVICE SERVICES MDMC'S YARD WORK. DIRECTOR BART GRANT MANAGES MDMC'S FUNDS THROUGH HIS BROKERAGE OFFICE. DIRECTOR MATT TANNER IS PRESIDENT OF FSCB. MDMC HAS LOANS AND A DEPOSIT ACCOUNT AT FSCB. DIRECTOR BETH JOHNSON AND DIRECTOR DEKE LAPE ARE PRINCIPALS OF MITCHELL INSURANCE WHO WIRTES THE BULK OF THE HOSPITAL'S INSURANCE COVERAGE INCLUDING MDMC EMPLOYEE HEALTH INSURANCE. FORM 990, PART VI, SECTION B, LINE 11B BEFORE THE FORM 990 IS FILED, THE VICE-PRESIDENT OF FINANCE OF THE ORGANIZATION REVIEWS THE FORM 990, WHICH IS PREPARED BY AN OUTSIDE TAX PREPARER. THE FINANCE COMMITTEE OF MISSOURI DELTA MEDICAL CENTER WILL ALSO PERFORM A REVIEW OF THE FORM 990 AFTER THE FORM HAS BEEN FILED. IN ADDITION, COPIES OF THE FORM 990 WILL BE AVAILABLE TO THE MISSOURI DELTA MEDICAL CENTER'S BOARD OF DIRECTORS AFTER THE ORGANIZATION'S FORM 990 HAS BEEN FILED. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS AS FOLLOWS: MEMBERS OF THE BOARD OF DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS HAVE AN OBLIGATION TO MAKE DECISIONS AND TO PERFORM THEIR DUTIES FOR THE SOLE BENEFIT OF THE HOSPITAL. ALL PERSONS SERVING IN SUCH CAPACITY SHOULD AVOID PLACING HIMSELF/HERSELF IN A POSITION WHERE PERSONAL INTERESTS ARE IN CONFLICT WITH THE INTERESTS OF THE HOSPITAL. THE FOLLOWING DEFINITIONS SHALL APPLY TO THIS POLICY: 1. AN "INTERESTED PERSON" IS A MEMBER OF THE BOARD OF DIRECTORS, PRINCIPAL OFFICER OR MEMBER OF ANY COMMITTEE WITH BOARD DELEGATED POWERS; 2. A PERSON HAS A "FINANCIAL INTEREST" IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: A. A PRESENT OR POTENTIAL OWNERSHIP, INVESTMENT, INTEREST, OR COMPENSATION ARRANGEMENT IN ANY ENTITY WITH WHICH THE HOSPITAL HAS OR MAY HAVE A TRANSACTION OR ARRANGEMENT; B. A COMPENSATION ARRANGEMENT WITH THE HOSPITAL OR ANY ENTITY OR INDIVIDUAL WITH WHICH THE ORGANIZATION HAS A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES ANY REMUNERATION, DIRECTLY OR INDIRECTLY, AND GIFTS OF FAVORS, WHICH ARE SUBSTANTIAL IN NATURE; 3. AN "AFFILIATED ORGANIZATION" INCLUDES ANY ORGANIZATION OR ENTITY OWNED OR OPERATED BY THE HOSPITAL OR IN WHICH THE HOSPITAL HAS A DIRECT FINANCIAL INTEREST; ANY "INTERESTED PERSON" MUST DISCLOSE TO THE HOSPITAL AND ANY AFFILIATED ORGANIZATION ALL FINANCIAL INTERESTS AND ALL MATERIAL FACTS RELATING THERETO. IF A CONFLICT DOES ARISE, THE HOSPITAL AND ANY AFFILIATED ORGANIZATION SHALL: 1. REQUIRE THAT THE "INTERESTED PERSON" LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST; 2. APPOINT, IF APPROPRIATE, UNDER THE CIRCUMSTANCES THEN APPEARING, A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 3. DETERMINE, BY A MAJORITY VOTE OF NON-INTERESTED PERSONS PRESENT, THAT THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL OR AFFILIATED ORGANIZATION'S BEST INTERESTS AND FOR ITS OWN BENEFIT AND IS FAIR AND REASONABLE TO THE HOSPITAL OR AFFILIATED ORGANIZATION. 4. TAKE APPROPRIATE DISCIPLINARY ACTION WITH RESPECT TO AN "INTERESTED PERSON" WHO VIOLATES THIS CONFLICT OF INTEREST POLICY TO PROTECT THE ORGANIZATION'S BEST INTERESTS. THE MINUTES OF ANY MEETING OF THE BOARD OF DIRECTORS OR ANY COMMITTEE WITH BOARD-DELEGATED POWERS SHALL INCLUDE THE FOLLOWING: 1. THE NAMES OF THE PERSONS WHO DISCLOSED FINANCIAL INTERESTS AND THE NATURE OF THEIR FINANCIAL INTEREST; 2. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT AND A RECORD OF THE VOTE. NO PHYSICIAN, WHO RECEIVES COMPENSATION DIRECTLY OR INDIRECTLY FROM THE HOSPITAL OR ANY AFFILIATED ORGANIZATION, SHALL BE A MEMBER OR SERVE ON ANY COMMITTEE DECIDING ON COMPENSATION FOR INDEPENDENT CONTRACTORS OR PRINCIPAL OFFICERS OF THE CORPORATION. NO MEMBER OF ANY COMPENSATION COMMITTEE WHO HAS A CONFLICT OF INTEREST SHALL, DIRECTLY OR INDIRECTLY, VOTE ON MATTERS PERTAINING TO THAT INDIVIDUAL'S COMPENSATION. EVERY MEMBER OF THE BOARD OF DIRECTORS, PRINCIPAL OFFICER, AND MEMBER OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS SHALL SIGN AN ANNUAL STATEMENT THAT SUCH PERSON: 1. RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; 2. READ AND UNDERSTANDS THE POLICY; 3. AGREES TO COMPLY WITH THE POLICY; 4. UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5. UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS TAX EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S SALARY AND ADMINISTRATIVE REVIEW COMMITTEE, WHICH IS MADE UP OF MEMBERS OF THE BOARD OF DIRECTORS, REVIEWS THE COMPENSATION FOR THE PRESIDENT AND VICE-PRESIDENTS OF THE MEDICAL CENTER. THE REVIEW OF COMPENSATION UTILIZES THE ANNUAL "EXECUTIVE COMPENSATION REPORT" THAT IS PUBLISHED BY THE MISSOURI HOSPITAL ASSOCIATION. A REVIEW OF THE MISSOURI DELTA MEDICAL CENTER'S PRESIDENT AND VICE-PRESIDENTS COMPENSATION WAS CONDUCTED FOR THE YEAR ENDING SEPTEMBER 30, 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. SCHEDULE B, PART I, LINE 2 DURING FISCAL YEAR 2024, THE HOSPITAL RECEIVED A $2,500,000 GRANT FROM THE MISSOURI DEPARTMENT OF SOCIAL SERVICES FOR THE PURCHASE OF CARDIOLOGY EQUIPMENT. $250,885 OF THE GRANT FUNDING WAS USED TOWARDS THE PURCHASE OF EQUIPMENT DURING FISCAL YEAR 2024 AND THE REMAINING BALANCE OF GRANT FUNDING IS RECORDED AS A REFUNDABLE ADVANCE ON MISSOURI DELTA MEDICAL CENTER'S STATEMENT OF NET POSITION. MISSOURI DELTA MEDICAL CENTER FOUNDATION 1008 NORTH MAIN STREET SIKESTON MO 63801 431577510 FUNDRAISING MO 501(C)(3) LINE 3 MISSOURI DELTA MEDICAL CENTER 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1