STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN (EIN 43-0666765)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201801359349300010
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T01:37:09-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431001367PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN SMITH WALLACE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 CITYPLACE DRIVE SUITE 900AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63141ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430666765EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE RANKEN-JORDAN HOME FOR CONVALESCENTBusinessNameLine1Txt
Business Name Line2CRIPPLED CHILDRENBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlRANKBusinessNameControlTxt
Phone3148726400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEN MARXPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3148726400PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER M VACHAPreparerPersonNm
PTINP01251998PTIN
Phone3149831200PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBILL WILLHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$90,724,947GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RANKENJORDAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1940FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionPEDIATRIC BRIDGE HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDRENActivityOrMissionDesc
Voting Members Governing Body28VotingMembersGoverningBodyCnt
Voting Members Independent26VotingMembersIndependentCnt
Total Employee411TotalEmployeeCnt
Total Volunteers145TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,214,060PYContributionsGrantsAmt
CY Contributions Grants$3,010,704CYContributionsGrantsAmt
PY Program Service Revenue$26,522,708PYProgramServiceRevenueAmt
CY Program Service Revenue$28,071,058CYProgramServiceRevenueAmt
PY Investment Income$917,322PYInvestmentIncomeAmt
CY Investment Income$954,474CYInvestmentIncomeAmt
PY Other Revenue-$228PYOtherRevenueAmt
CY Other Revenue-$71,689CYOtherRevenueAmt
PY Total Revenue$31,653,862PYTotalRevenueAmt
CY Total Revenue$31,964,547CYTotalRevenueAmt
PY Grants And Similar Paid$45,373PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$30,890CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,871,128PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,182,221CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,409,737CYTotalFundraisingExpenseAmt
PY Other Expenses$10,044,211PYOtherExpensesAmt
CY Other Expenses$10,220,716CYOtherExpensesAmt
PY Total Expenses$28,960,712PYTotalExpensesAmt
CY Total Expenses$29,433,827CYTotalExpensesAmt
PY Revenues Less Expenses$2,693,150PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,530,720CYRevenuesLessExpensesAmt
Total Assets BOY$64,166,478TotalAssetsBOYAmt
Total Assets EOY$88,791,260TotalAssetsEOYAmt
Total Liabilities BOY$20,154,276TotalLiabilitiesBOYAmt
Total Liabilities EOY$42,383,336TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44,012,202NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,407,924NetAssetsOrFundBalancesEOYAmt
MissionRANKEN JORDAN IS A PEDIATRIC BRIDGE HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDREN AND THEIR FAMILIES. WE ARE A LEADER IN PROVIDING INTENSIVE TRANSITIONAL CARE AND LIVING SUPPORT FOR THESE CHILDREN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,637,012ExpenseAmt
Grant$29,348GrantAmt
Revenue$26,403,754RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 10,758 DAYS OF MEDICAL CARE FOR INPATIENTS. OF THOSE DAYS, 95% WERE CHILDREN THAT WERE ABLE TO RECEIVE SOME FORM OF MEDICAID ASSISTANCE. NO INPATIENT EVER LEAVES RANKEN JORDAN WITH A PATIENT RESPONSIBILITY DUE. IT IS THE GOAL OF THE ENTIRE STAFF AT RANKEN JORDAN TO ASSURE THAT WHEN A CHILD LEAVES OUR CARE, THEIR FAMILY HAS BEEN WELL TRAINED TO PROVIDE QUALITY CARE AND THEY HAVE A SAFE ENVIRONMENT TO GO HOME TO.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,398,282ExpenseAmt
Grant$1,542GrantAmt
Revenue$1,667,304RevenueAmt
DescDURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 21,672 UNITS OF OUTPATIENT SERVICES TO CHILDREN REQUIRING INTENSIVE THERAPY. RANKEN JORDAN PROVIDES PHYSICAL, OCCUPATIONAL, SPEECH, AND AQUATIC THERAPIES ON AN OUTPATIENT BASIS. RANKEN JORDAN ALSO OFFERS A DAY TREATMENT PROGRAM THAT PROVIDES INTENSIVE THERAPY THROUGHOUT THE DAY. RANKEN JORDAN HAS EXPANDED ITS OUTPATIENT PROGRAMS TO INCLUDE CONSTRAINT INDUCED MOVEMENT THERAPY, PAIN MANAGEMENT SERVICES AND PHYSIATRY SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$766,444ExpenseAmt
DescA VARIETY OF COMMUNITY PROGRAMS ARE ALSO PROVIDED TO SUPPORT CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES. THESE PROGRAMS ARE ALWAYS OFFERED FREE OF CHARGE AND OPEN TO THE GENERAL PUBLIC. THIS PROGRAMMING INCLUDES (BUT IS NOT LIMITED TO) SUPPORT GROUPS, SPORTS-RELATED ACTIVITIES FOR CHILDREN WITH SPECIAL NEEDS, AND SOCIAL ENRICHMENT ACTIVITIES FOR CHILDREN WITH COMPLEX MEDICAL NEEDS. A TOTAL OF 5,145 INDIVIDUALS WERE SERVED BY THE COMMUNITY PROGRAMS DURING THE YEAR. THIS PROGRAM CONTINUES TO GROW ANNUALLY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$21,801,738TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit TransYes (1)EngagedInExcessBenefitTransInd
PY Excess Benefit TransYes (1)PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee411EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members28GoverningBodyVotingMembersCnt
Independent Voting Member26IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3148726400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAUREEN K TANNER
PRESIDENT/CEO50.00Yes (X)Yes (X)$410,436$0$43,270
BILL WILLHITE
CHAIRMAN10.00Yes (X)Yes (X)$0$0$0
WALTER BAZAN JR
VICE CHAIRMAN10.00Yes (X)Yes (X)$0$0$0
THOMAS J MINOGUE
SECRETARY5.00Yes (X)Yes (X)$0$0$0
KEN MARX
TREASURER5.00Yes (X)Yes (X)$0$0$0
NICHOLAS A HOLEKAMP MD
VP & CHIEF MEDICAL OFFICER50.00Yes (X)Yes (X)$366,260$0$41,784
CHRIS CIOFFI
BOARD MEMBER3.00Yes (X)$0$0$0
STEVE CORTOPASSI
BOARD MEMBER3.00Yes (X)$0$0$0
SONDRA M DENK
BOARD MEMBER3.00Yes (X)$0$0$0
MIKE DETWILER
BOARD MEMBER3.00Yes (X)$0$0$0
DAVID DREW
BOARD MEMBER (TERM. 02/2017)3.00Yes (X)$0$0$0
PAM DUFFY
BOARD MEMBER3.00Yes (X)$0$0$0
GEORGE R EDINGER SR
BOARD MEMBER3.00Yes (X)$0$0$0
R BRUCE FRAZER
BOARD MEMBER (TERM. 02/2017)3.00Yes (X)$0$0$0
DEREK GLANVILL
BOARD MEMBER3.00Yes (X)$0$0$0
CHARLES HESSLER
BOARD MEMBER3.00Yes (X)$0$0$0
KRISTEN HOGAN
BOARD MEMBER3.00Yes (X)$0$0$0
NOREEN LAFFEY
BOARD MEMBER3.00Yes (X)$0$0$0
MIKE MATHENY
BOARD MEMBER3.00Yes (X)$0$0$0
MICHAEL MAURER JR MD
BOARD MEMBER (TERM. 02/2017)3.00Yes (X)$0$0$0
BETSY PROSPERI
BOARD MEMBER3.00Yes (X)$0$0$0
JOHN PROSPERI
BOARD MEMBER3.00Yes (X)$0$0$0
JEANA REISINGER
BOARD MEMBER3.00Yes (X)$0$0$0
STEVE RENNE
BOARD MEMBER3.00Yes (X)$0$0$0
MICHAEL SCULLY
BOARD MEMBER3.00Yes (X)$0$0$0
RABBI MARK L SHOOK
BOARD MEMBER3.00Yes (X)$0$0$0
THAD SIMONS
BOARD MEMBER3.00Yes (X)$0$0$0
KURTIS T SOBUSH MD
BOARD MEMBER3.00Yes (X)$0$0$0
KIT SUNDARARAMAN
BOARD MEMBER3.00Yes (X)$0$0$0
RICHARD A VANDEGRIFT
BOARD MEMBER3.00Yes (X)$0$0$0
NICK WILLIAMSON
BOARD MEMBER3.00Yes (X)$0$0$0
JEAN L BARDWELL
VICE PRESIDENT & CFO50.00Yes (X)$271,951$0$10,180
R BRETT MOOREHOUSE
VICE PRESIDENT & COO50.00Yes (X)$216,691$0$5,818
ELIZABETH AKRE SUGARBAKER MD
PHYSICIAN40.00$176,279$0$8,863Yes (X)
JEANNIE A BATSON
PHARMACIST40.00$152,630$0$8,510Yes (X)
SUSAN CONGER MD
PHYSICIAN40.00$251,622$0$10,153Yes (X)
EUGENE EVRA MD
PHYSICIAN40.00$223,484$0$9,876Yes (X)
AMY ZIMMERMANN MD
PHYSICIAN40.00$222,457$0$9,733Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,291,810TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$148,187TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER
PO BOX 959156ST LOUISMO63195ELECTRONIC HEALTH RECORDS$881,659
MEDICAL STAFFING NETWORK
901 YAMATO ROAD SUITE 100BOCA RATONFL33431CLINICAL STAFFING$195,558
MB TECHNOLOGY SOLUTIONS
1001 CRAIG ROAD SUITE 400ST LOUISMO63146COMPUTER CONSULTING$176,865
THOMPSON COBURN
PO BOX 18379MST LOUISMO63195LEGAL SERVICES$141,893
C & R MECHANICAL
12825 PENNRIDGE DRIVEBRIDGETONMO63044HVAC SERVICES$116,637
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$521,134FundraisingAmt
Government Grants$61,576GovernmentGrantsAmt
All Other Contributions$2,427,994AllOtherContributionsAmt
Total Contributions$3,010,704TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT CARE621110$26,403,754$26,403,754
OUTPATIENT CARE621110$1,667,304$1,667,304
FieldValueIRS element (for citing)
Total Program Service Revenue$28,071,058TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$477,752TotalRevenueColumnAmt
Exclusion$477,752ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$58,949,409SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$58,472,687SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$476,722SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$476,722TotalRevenueColumnAmt
Exclusion$476,722ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$216,024FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$521,134ContriRptFundraisingEventAmt
Fundraising Direct Expenses$287,713FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$71,689TotalRevenueColumnAmt
Exclusion-$71,689ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,964,547TotalRevenueColumnAmt
Related Or Exempt Func Income$28,071,058RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$882,785ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$30,890TotalAmt
Program Services$30,890ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,410,143TotalAmt
Management And General$939,092ManagementAndGeneralAmt
Fundraising$471,051FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,427,667TotalAmt
Program Services$11,212,611ProgramServicesAmt
Management And General$3,013,231ManagementAndGeneralAmt
Fundraising$201,825FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$202,374TotalAmt
Program Services$157,277ProgramServicesAmt
Management And General$42,266ManagementAndGeneralAmt
Fundraising$2,831FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,081,053TotalAmt
Program Services$1,598,241ProgramServicesAmt
Management And General$448,299ManagementAndGeneralAmt
Fundraising$34,513FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,060,984TotalAmt
Program Services$826,996ProgramServicesAmt
Management And General$192,353ManagementAndGeneralAmt
Fundraising$41,635FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$82,306TotalAmt
Management And General$82,306ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$72,538TotalAmt
Management And General$72,538ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$98,045TotalAmt
Program Services$98,045ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$750,612TotalAmt
Program Services$601,612ProgramServicesAmt
Management And General$84,000ManagementAndGeneralAmt
Fundraising$65,000FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$324,846TotalAmt
Program Services$68,494ProgramServicesAmt
Management And General$8,480ManagementAndGeneralAmt
Fundraising$247,872FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,736,475TotalAmt
Program Services$1,361,689ProgramServicesAmt
Management And General$231,393ManagementAndGeneralAmt
Fundraising$143,393FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,224,228TotalAmt
Program Services$1,069,286ProgramServicesAmt
Management And General$38,395ManagementAndGeneralAmt
Fundraising$116,547FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$326,227TotalAmt
Program Services$308,172ProgramServicesAmt
Management And General$10,623ManagementAndGeneralAmt
Fundraising$7,432FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$56,263TotalAmt
Program Services$46,477ProgramServicesAmt
Management And General$735ManagementAndGeneralAmt
Fundraising$9,051FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$69,018TotalAmt
Program Services$66,492ProgramServicesAmt
Management And General$2,476ManagementAndGeneralAmt
Fundraising$50FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$936,211TotalAmt
Management And General$936,211ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,719,146TotalAmt
Program Services$1,567,679ProgramServicesAmt
Management And General$100,978ManagementAndGeneralAmt
Fundraising$50,489FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$434,397TotalAmt
Program Services$401,276ProgramServicesAmt
Management And General$15,715ManagementAndGeneralAmt
Fundraising$17,406FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FRA ASSESSMENT$1,361,688$1,361,688
PHARMACY EXPENSES$929,446$929,446
DUES AND SUBSCRIPTIONS$99,270$95,367$3,261$642

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,433,827TotalAmt
Program Services$21,801,738ProgramServicesAmt
Management And General$6,222,352ManagementAndGeneralAmt
Fundraising$1,409,737FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,010BOYAmt
EOY$1,400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$41,529BOYAmt
EOY$267,796EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,182,805BOYAmt
EOY$1,768,359EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,942,632BOYAmt
EOY$5,394,961EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,547,583BOYAmt
EOY$1,480,382EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$54,294,588LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,314,875LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,509,301BOYAmt
EOY$39,979,713EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$28,642,693BOYAmt
EOY$39,898,649EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$274,925BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,166,478BOYAmt
EOY$88,791,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,989,589BOYAmt
EOY$4,947,817EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$237,375BOYAmt
EOY$175,862EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,443,189BOYAmt
EOY$36,640,791EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$484,123BOYAmt
EOY$618,866EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,154,276BOYAmt
EOY$42,383,336EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,418,991BOYAmt
EOY$35,320,628EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,593,211BOYAmt
EOY$11,087,296EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,012,202BOYAmt
EOY$46,407,924EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,166,478BOYAmt
EOY$88,791,260EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,530,720ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$906,064NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,041,062OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,564,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,643,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,865,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,214,060CurrentTaxYearMinus1YearAmt
Current Tax Year$3,010,704CurrentTaxYearAmt
Total$21,298,785TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,564,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,643,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,865,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,214,060CurrentTaxYearMinus1YearAmt
Current Tax Year$3,010,704CurrentTaxYearAmt
Total$21,298,785TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,434,096SubstantialContributorsTotAmt
Public Support Total170$16,864,689PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$378,478CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$408,960CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$467,076CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$441,183CurrentTaxYearMinus1YearAmt
Current Tax Year$477,752CurrentTaxYearAmt
Total$2,173,449TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,720CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,116CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,737CurrentTaxYearMinus1YearAmt
Total$76,988TotalAmt
FieldValueIRS element (for citing)
Total Support$23,549,222TotalSupportAmt
Gross Receipts Rltd Activities$131,353,939GrossReceiptsRltdActivitiesAmt
Public Support CY1700.71610PublicSupportCY170Pct
Public Support PY1700.69160PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$98,045OtherActivitiesAmt
Total Lobbying Expenditures$98,045TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRANKEN JORDAN USES THE SERVICES OF A LOCAL LAW FIRM, THOMPSON COBURN, TO PROVIDE LEGISLATIVE SERVICES FOR THE HOSPITAL. IN ADDITION, RANKEN JORDAN PAYS DUES TO OTHER ORGANIZATIONS OF WHICH A PORTION IS SPENT ON LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,740,704OtherCostOrOtherBasisAmt
Depreciation$6,254,799DepreciationAmt
Book Value$13,485,905BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,671,964OtherCostOrOtherBasisAmt
Depreciation$7,673,682DepreciationAmt
Book Value$4,998,282BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,522,743OtherCostOrOtherBasisAmt
Depreciation$386,394DepreciationAmt
Book Value$19,136,349BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,979,713TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$618,866Amt
FieldValueIRS element (for citing)
Total Liability$618,866TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$32,398,798TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$906,064NetUnrealizedGainsInvstAmt
Revenue Not Reported$906,064RevenueNotReportedAmt
Revenue Subtotal$31,492,734RevenueSubtotalAmt
Other Revenues Not Included$471,813OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$471,813RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$31,964,547TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,003,076TotExpnsEtcAuditedFinclStmtAmt
Losses Reported$569,249LossesReportedAmt
Expenses Not Reported$569,249ExpensesNotReportedAmt
Expenses Subtotal$29,433,827ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$29,433,827TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2: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 LIMIATIONS, 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.
PART XI, LINE 4B - OTHER ADJUSTMENTS:UNCOLLECTIBLE ACCOUNTS PROVISION NETTED WITH REVENUE ON FS 471,813.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER AUCTIONEvent1Nm
Gross Receipts Event1$424,007GrossReceiptsEvent1Amt
Charitable Contri Event1$313,609CharitableContriEvent1Amt
Gross Revenue Event1$110,398GrossRevenueEvent1Amt
Food And Beverage Event1$77,826FoodAndBeverageEvent1Amt
Entertainment Event1$36,993EntertainmentEvent1Amt
Other Direct Expenses Event1$46,967OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$243,836GrossReceiptsEvent2Amt
Charitable Contri Event2$138,210CharitableContriEvent2Amt
Gross Revenue Event2$105,626GrossRevenueEvent2Amt
Cash Prizes Event2$7,610CashPrizesEvent2Amt
Rent Facility Costs Event2$35,297RentFacilityCostsEvent2Amt
Food And Beverage Event2$33,056FoodAndBeverageEvent2Amt
Entertainment Event2$3,500EntertainmentEvent2Amt
Other Direct Expenses Event2$17,807OtherDirectExpensesEvent2Amt
Other Events Total8OtherEventsTotalCnt
Gross Receipts Other Events$69,315GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$69,315CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events$28,657OthDirectExpnssOtherEventsAmt
Gross Receipts Total$737,158GrossReceiptsTotalAmt
Charitable Contributions Tot$521,134CharitableContributionsTotAmt
Gross Revenue Total Events$216,024GrossRevenueTotalEventsAmt
Cash Prizes Total Events$7,610CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$35,297RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$110,882FoodAndBeverageTotalEventsAmt
Entertainment Total Events$40,493EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$93,431OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$287,713DirectExpenseSummaryEventsAmt
Net Income Summary-$71,689NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served2PersonsServedCnt
Total Community Benefit Expns$337,441TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$337,441NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,949,363TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,878,078DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,071,285NetCommunityBenefitExpnsAmt
Total Expense0.38230TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,135,734TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,134,923DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,000,811NetCommunityBenefitExpnsAmt
Total Expense0.10360TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served2PersonsServedCnt
Total Community Benefit Expns$41,422,538TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,013,001DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,409,537NetCommunityBenefitExpnsAmt
Total Expense0.49760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs160ActivitiesOrProgramsCnt
Persons Served2996PersonsServedCnt
Total Community Benefit Expns$116,436TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$116,436NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1090PersonsServedCnt
Total Community Benefit Expns$66,470TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,470NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served372PersonsServedCnt
Total Community Benefit Expns$2,126TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,126NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs164ActivitiesOrProgramsCnt
Persons Served4458PersonsServedCnt
Total Community Benefit Expns$185,032TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$185,032NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs164ActivitiesOrProgramsCnt
Persons Served4460PersonsServedCnt
Total Community Benefit Expns$41,607,570TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,013,001DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,594,569NetCommunityBenefitExpnsAmt
Total Expense0.50400TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$551TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$551NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs23ActivitiesOrProgramsCnt
Total Community Benefit Expns$35,185TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,185NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$24,208TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,208NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Total Community Benefit Expns$59,944TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,944NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$471,813BadDebtExpenseAmt
Bad Debt Expense Attributable$471,813BadDebtExpenseAttributableAmt
Reimbursed By Medicare$103,547ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$313,829CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$210,282MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDRENBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111365 DORSETT ROADAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63043ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd
OtherPEDIATRIC SPECIALTY HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RANKEN JORDAN HOME FOR CONVALESCENT CRIPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.RANKENJORDAN.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.RANKENJORDAN.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 5: IN CONDUCTING THE 2016 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.
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 11: RANKEN JORDAN IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH COMMUNITY PROGRAMMING AND WORKING WITH LOCAL PARTNERS.
RANKEN JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDPART V, SECTION B, LINE 20E: NO COLLECTION ACTIONS ARE TAKEN AGAINST OUR PATIENTS. RANKEN JORDAN HAS NO AFFILIATION WITH ANY COLLECTION AGENCY OR ORGANIZATION. COLLECTION ACTIVITIES WOULD GO AGAINST THE MISSION OF RANKEN JORDAN, TO CARE FOR CHILDREN "REGARDLESS OF THEIR ABILITY TO PAY".

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LN 7 COL(F):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.
PART III, LINE 2:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY 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 THIRD-PARTY 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 RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY 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.
PART III, LINE 3: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.
PART III, LINE 4:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY 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 THIRD-PARTY 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 RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY 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.
PART III, LINE 8:THE AMOUNT OF SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT DUE TO THE FACT THAT THE COST OF TREATING MEDICARE PATIENTS EXCEEDS THE AMOUNT OF REIMBURSEMENT FROM THE GOVERNMENT. THE ORGANIZATION IS PROVIDING A SERVICE TO PATIENTS IN NEED FROM THEIR OWN FUNDS. THE METHOD USED TO DETERMINE THE AMOUNT OF MEDICARE COSTS IS THE TOTAL CHARGES FOR ALL THE MEDICARE PATIENTS AS RECORDED ON THE ORGANIZATION'S CHARGES LOG.
PART III, LINE 9B: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. FORMAL COLLECTION ACTIVITIES WOULD GO AGAINST THE MISSION OF RANKEN JORDAN, TO CARE FOR CHILDREN "REGARDLESS OF THEIR ABILITY TO PAY".
PART VI, LINE 2:RANKEN JORDAN IS A MEMBER OF THE MISSOURI 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.
PART VI, LINE 3: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 ORGANIZAITON, NO INPATIENT RECEIVES A BILL FOR CARE RECEIVED. RANKEN JORDAN DOES NOT WORK WITH OR TURN ANY PATIENT'S ACCOUNTS OVER FOR COLLECTION.
PART VI, LINE 4: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 AMOUNT 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.
PART VI, LINE 5: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 AND "POWER SOCCER" THAT ALLOW CHILDREN TO PARTICIPATE IN SPORTS DESPITE THEIR PHYSICAL LIMITAITONS. 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.
PART VI, LINE 6:RANKEN JORDAN IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
TRANSPORTATION FOR PATIENT FAMILIES821$19,765
INTERPRETER SERVICES FOR PATIENTS THAT DO NOT SPEAK ENGLISH OR ARE HEARING IMPAIRED3$3,296
FUNERAL EXPENSES FOR FORMER PATIENT1$3,500
CAR SEAT FOR PATIENTS7$602
LODGING FOR OUT-OF-TOWN PARENTS7$3,486
BRACES FOR PATIENTS2$241

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAUREEN K TANNER
PRESIDENT/CEO$332,690$0$0$0$77,746$0$38,355$0$4,915$0$453,706$0$0$0
NICHOLAS A HOLEKAMP MD
VP & CHIEF MEDICAL OFFICER$348,565$0$0$0$17,695$0$38,685$0$3,099$0$408,044$0$0$0
JEAN L BARDWELL
VICE PRESIDENT & CFO$222,604$0$0$0$49,347$0$4,860$0$5,320$0$282,131$0$0$0
R BRETT MOOREHOUSE
VICE PRESIDENT & COO$212,659$0$0$0$4,032$0$4,863$0$955$0$222,509$0$0$0
ELIZABETH AKRE SUGARBAKER MD
PHYSICIAN$176,279$0$0$0$0$0$3,697$0$5,166$0$185,142$0$0$0
JEANNIE A BATSON
PHARMACIST$152,630$0$0$0$0$0$3,190$0$5,320$0$161,140$0$0$0
SUSAN CONGER MD
PHYSICIAN$251,622$0$0$0$0$0$5,064$0$5,089$0$261,775$0$0$0
EUGENE EVRA MD
PHYSICIAN$223,484$0$0$0$0$0$4,556$0$5,320$0$233,360$0$0$0
AMY ZIMMERMANN MD
PHYSICIAN$222,457$0$0$0$0$0$4,597$0$5,136$0$232,190$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHERE IS A MEMBERSHIP TO NORWOOD HILLS COUNTRY CLUB THAT IS IN LAUREEN K. TANNER'S (CEO) NAME. THE MEMBERSHIP IS PAID FOR BY RANKEN JORDAN. ANY PERSONAL EXPENSES CHARGED TO THE ACCOUNT ARE REIMBURSED TO RANKEN JORDAN.
PART I, LINE 4BLAUREEN K. TANNER AND NICHOLAS HOLEKAMP ARE PARTICIPANTS IN A 457(F) PLAN. CONTRIBUTIONS WERE MADE ON THEIR BEHALF.
PART I, LINE 7INCENTIVES 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 NON-FIXED PAYMENT: LAUREEN K. TANNER, NICHOLAS HOLEKAMP, JEAN BARDWELL, AND R. BRETT MOOREHOUSE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IDA OF THE COUNTY OF ST LOUIS MISSOURIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN431170145BondIssuerEIN
CUSIP79130GJC6CUSIPNum
Bond Issued2016-09-26BondIssuedDt
Issue Price$37,207,987IssuePriceAmt
PurposeREFUNDING SERIES 2007 BONDS; EXPANSIONPurposeDesc
DefeasedYes (1)DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Bond Defeased$20,900,000BondDefeasedAmt
Total Proceeds$37,207,987TotalProceedsAmt
Refunding Escrow$15,642,185RefundingEscrowAmt
Issuance Costs From Proceeds$519,597IssuanceCostsFromProceedsAmt
Capital Expenditures$21,565,802CapitalExpendituresAmt
Substantial Completion2017SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (2 entries)

Rln Disqualified Person OrgRlnDisqualifiedPersonOrgTxtTransactionTransactionDescTransaction CorrectedTransactionCorrectedInd
LAUREEN K TANNER
OFFICER(SEE PART V) DISQUALIFIED PERSON RECEIVED REIMBURSEMENT IN EXCESS OF AMOUNT PERMITTED UNDER THE ORGANIZATION'S PTO POLICYYes (1)
JEAN L BARDWELL
OFFICER(SEE PART V) DISQUALIFIED PERSON RECEIVED REIMBURSEMENT IN EXCESS OF AMOUNT PERMITTED UNDER THE ORGANIZATION'S PTO POLICYYes (1)
FieldValueIRS element (for citing)
Tax Imposed$25,375TaxImposedAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonTHAD SIMONSPersonNm
FieldValueIRS element (for citing)
Relationship Description(SEE PART V) FAMILY MEMBER IS EMPLOYEERelationshipDescriptionTxt
Transaction$50,455TransactionAmt
TransactionEMPLOYMENT WAGESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JOHN PROSPERI (BOARD MEMBER) AND ELIZABETH PROSPERI (BOARD MEMBER) HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BTHE INITIAL FORM 990 IS ORIGINALLY PRESENTED TO THE FINANCE COMMITTEE BY OUR INDEPENDENT AUDITORS. 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 WILL BE FILED ELECTRONICALLY BY OUR INDEPENDENT AUDITORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES, OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION. THE GOVERNANCE COMMITTEE HAS OVERSIGHT RESPONSIBILITIES FOR THE PROGRAM AND SHALL REPORT TO THE BOARD PERIODICALLY, AS DETERMINED BY THE BOARD, BUT NOT LESS THAN ANNUALLY. THE COMPLIANCE OFFICER CONDUCTS THE DAY-TO-DAY OPERATIONS OF THE COMPLIANCE PROGRAM, INCLUDING COORDINATION OF THE RECEIPT OF REPORTS OF NONCOMPLIANCE. THE ORGANIZATION ADDED THE POSITION OF COMPLIANCE OFFICER/RISK MANAGER AS A FULL-TIME POSITION DURING FISCAL YEAR 6/30/14.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE, UNDER THE ADVISEMENT OF ALEXANDER-SIEFERT CONSULTING GROUP, LLC, 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, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:LOSS ON EXTINGUISHMENT OF DEBT -569,249. BAD DEBT -471,813.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.