2016-11-11T08:03:36-06:00 2015-12-31 431126847 WILLIAMS-KEEPERS LLC 2005 WEST BROADWAY SUITE 100 COLUMBIA MO 65203 990 2015-01-01 030477306 BOONE HOSPITAL FOUNDATION BOON 5738152800 1600 E BROADWAY COLUMBIA MO 65201 BARBARA DANUSER EXECUTIVE DIRECTOR 5738152800 2016-11-09 1 STEPHEN C SMITH P00048938 5734426171 2015 2017-02-10 21:41:12Z BARBARA DANUSER 1600 E BROADWAY COLUMBIA MO 65201 6723687 0 X WWW.BOONE.ORG X 2001 MO SUPPORTS THE EFFORTS OF BOONE HOSPITAL CENTER OF IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 15 15 0 15 0 0 404991 395648 0 0 526234 508312 79434 85288 1010659 989248 9213 141908 0 0 176146 182362 0 0 0 335129 210452 520488 534722 490171 454526 10361647 10391390 14352 27695 10347295 10363695 X TO SEEK FINANCIAL RESOURCES TO SUPPORT EFFORTS OF BOONE HOSPITAL CENTER IN ITS MISSION TO IMPROVE THE HEALTH AND WELLNESS OF CURRENT AND FUTURE GENERATIONS IN THE COMMUNITIES WE SERVE. 0 0 60560 141908 CARE GIVER EDUCATION: THIS PROGRAM PROVIDES SCHOLARSHIPS FOR ADVANCED TRAINING IN CRITICAL CARE AREAS AND HELPS FUND SPECIAL NURSING CONFERENCES FOR BOONE HOSPITAL NURSES AND CAREGIVERS. 23008 COMMUNITY BENEFIT/EDUCATION: THIS PROGRAM SUPPORTS ON-SITE AND OUTREACH ACTIVITIES AND PROVIDES EDUCATION THAT ENCOURAGES COMMUNITY MEMBERS TO LEARN ABOUT AND LEAD A HEALTHIER LIFE STYLE. BELOW ARE TWO ACTIVITIES SUPPORTED FROM THIS FUND IN 2015. - THE KIDS ON TRACK PROGRAM IS TO ENCOURAGE KIDS TO RUN AN INTERMITTENT MARATHON OVER THE SUMMER MEETING OUR MISSION OF IMPROVING THE HEALTH OF OUR COMMUNITY. THERE IS A KICK OFF EVENT IN THE SPRING AND A CELEBRATION EVENT AT THE CONCLUSION OF SUMMER. THE FOUNDATION SUPPORTS THIS EVENT BY PURCHASING T-SHIRTS ($2,368) TO ACKNOWLEDGE KIDS (APPROXIMATELY 1,314) WHO COMPLETED THIS ACTIVITY. - THE SUPPLIES FOR OUR KNOW YOUR NUMBERS PROGRAM CONDUCTED BOTH ON-SITE AND THROUGH OUR MOBILE HEALTH UNIT PROVIDES FREE HEALTH SCREENINGS TO COMMUNITY MEMBERS. THE FOUNDATION PURCHASES THE CHOLESTECH SLIDES AND THE EQUIPMENT THAT READS THE RESULTS OF THE BLOOD ACQUIRED FROM A FINGER PRICK. THIS PROVIDES COMMUNITY MEMBERS WITH THEIR CHOLESTEROL LEVELS, BLOOD SUGAR LEVELS AND TRIGLYCERIDES ALL OF WHICH CAN BE INDICATORS FOR HEART DISEASE AND DIABETES. COMMUNITY MEMBERS ARE PROVIDED THE RESULTS OF THEIR BLOOD SAMPLE BY A REGISTERED NURSE AND THEN PROVIDED WITH EDUCATIONAL MATERIALS ON HOW TO IMPROVE THEIR NUMBERS. RESULTS ARE PROVIDED AT THE TIME OF THE SERVICE. THE FOUNDATION SUPPORTED $13,996 IN SUPPLIES IN 2015 AND THE APPROXIMATELY 4,400 COMMUNITY MEMBERS WERE SERVED. 191029 TO SEEK FINANCIAL RESOURCES TO SUPPORT EFFORTS OF BOONE HOSPITAL CENTER IN ITS MISSION, WHICH IS TO IMPROVE THE HEALTH AND WELLNESS OF CURRENT AND FUTURE GENERATIONS IN THE COMMUNITIES WE SERVE. 4347 CME FUND: THE FOUNDATION PROVIDED 226 HOURS OF CME ACCREDITED LIVE INSTRUCTION DURING THE YEAR. THIS ENCOMPASSES REGULARLY SCHEDULED COURSES, SUCH AS TUMOR BOARDS AND PULMONARY CARE CONFERENCES; AS WELL AS QUARTERLY GENERAL STAFF MEETINGS; OUTREACH COURSES TO OUTLYING COMMUNITIES, E.G. JEFFERSON CITY PHYSICIANS AND FITZGIBBON HOSPITAL; AND NEW REGIONAL INITIATES SUCH AS THE BABY BOOMER CARE CONFERENCE, CARDIOLOGY REVIEW & UPDATE, ORTHOPAEDIC REVIEW & UPDATE. 1,153 PHYSICIAN ATTENDEES WERE RECORDED AT THESE EVENTS THROUGH 2015. 181 THE HEALING GARDEN: THE HEALING GARDEN WAS BUILT TO PROVIDE A CALMING PLACE WHERE PATIENTS, THEIR FAMILIES AND OTHERS CAN FIND BEAUTY, COMFORT AND SOLITUDE. RESEARCH SHOWS THAT GARDENS CAN HAVE A POSITIVE IMPACT ON PATIENT OUTCOMES. THIS HEALING GARDEN HAS WATERFALLS, TREES, FLOWERS, FOOT BRIDGES, PARK BENCHES AND SOOTHING MUSIC, EXTENDING THE HEALING ENVIRONMENT BEYOND THE WALLS OF THE HOSPITAL. PATIENTS AND FAMILY MEMBERS VISIT THIS GARDEN DAILY. 4528 279125 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X BARBARA DANUSER 5738152800 1600 E BROADWAY COLUMBIA MO 65201 JAMES SCHATZ PRESIDENT 4.00 X X 0 0 0 MISSY BONDERER VICE PRESIDENT 1.00 X X 0 0 0 STACY PETERS SECRETARY 2.00 X X 0 0 0 FAY STINE TREASURER 3.00 X X 0 0 0 ROBERT WAGNER HOSPITAL BOARD MEMBER 2.00 15.00 X 0 0 0 JAN BECKETT HOSPITAL BOARD MEMBER 3.00 15.00 X 0 0 0 KAT CUNNINGHAM BOARD MEMBER 2.00 X 0 0 0 CHARLIE DIGGES JR BOARD MEMBER 1.00 X 0 0 0 DR ROBERT DOROGHAZI BOARD MEMBER 2.00 X 0 0 0 JIM FLINK BOARD MEMBER 1.00 X 0 0 0 KIM GETZOFF BOARD MEMBER 3.00 X 0 0 0 SARA EMLY LEMONE BOARD MEMBER 1.00 X 0 0 0 DR JOE MUSCATO BOARD MEMBER 1.00 X 0 0 0 DR LENARD POLITTE BOARD MEMBER 1.00 X 0 0 0 MONICA SMITH BOARD MEMBER 2.00 X 0 0 0 BARBARA DANUSER EXECUTIVE DIRECTOR 40.00 X 89440 0 28024 89440 0 28024 0 0 0 0 0 103441 292207 395648 278652 278652 5574384 5344724 229660 229660 229660 87029 103441 80440 6589 6589 387974 309275 78699 78699 989248 0 0 593600 141908 141908 117464 117464 48742 48742 6521 6521 9635 9635 4705 4705 42934 42934 6833 6833 1379 1379 4643 4643 3515 3515 800 800 474 474 PROGRAM SUPPORT EXPENSE 137217 137217 MISCELLANEOUS EXPENSES 7952 7952 534722 279125 255597 0 368848 144307 5000 49671 103583 78699 9859557 10092601 24659 26112 10361647 10391390 14352 27695 14352 27695 X 7420680 7339200 2188619 2257799 737996 766696 10347295 10363695 10361647 10391390 454526 -438126 0 X 0 1 X 0 0 X X 1 BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL 431279063 6 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATION APPROVES THE SLATE OF THE BOARD OF DIRECTORS OF THE SUPPORTING ORGANIZATION. ADDITIONALLY, THE SUPPORTED ORGANIZATION WILL REQUEST FUNDING FOR VARIOUS PROJECTS OR PURPOSES. THE REQUESTS USUALLY ORIGINATE FROM A DEPARTMENT OF THE SUPPORTED ORGANIZATION. THEY REQUIRE APPROVAL BY VARIOUS LEVELS OF MANAGEMENT OF THE SUPPORTED ORGANIZATION BEFORE GOING TO THE FOUNDATION DIRECTOR FOR APPROVAL AS WELL AS THE FOUNDATION BOARD OR BOARD MEMBER FOR APPROVAL, DEPENDING ON THE REQUEST. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1292275 28700 5555 -71500 1255030 1232152 300 59823 1292275 1040197 29666 162289 1232152 918941 80 121176 1040197 907267 11674 918941 0.61090 0.38910 0 0 0 588628 -438126 -438126 1026754 42934 -80440 -37506 989248 572228 0 572228 42934 -80440 -37506 534722 PART V, LINE 4: HEALTH CARE EDUCATIONAL INITIATIVES PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -80,440. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -80,440. GALA 132400 54011 78389 3515 23751 4400 26782 GOLF TOURNAMENT 58070 49430 8640 6165 9560 4665 1602 190470 103441 87029 6165 13075 28416 4400 28384 80440 6589 1 REGISTRATION AND TRAVEL ASSISTANCE TO ATTEND CONFERENCES 180 141610 PHARMACY TECHNICIAN REGISTRATIONS 14 298 PART I, LINE 2: ALL ASSISTANCE IS PAID DIRECTLY TO THE CONFERENCE THE RECIPIENT IS ATTENDING. WHEN TIMING DOES NOT ALLOW FOR PREPAYMENT OF EXPENSES AND FUNDS ARE EXPENDED BY THE RECIPIENT, RECEIPTS AND ANY OTHER NECESSARY SUPPORT IS OBTAINED BEFORE REIMBURSEMENT IS MADE. FORM 990, PART VI, SECTION B, LINE 11 COPIES OF THE FORM 990 ARE DISTRIBUTED TO THE BOARD OF DIRECTORS ELECTRONICALLY FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE EXECUTIVE DIRECTOR DISTRIBUTES THE CONFLICT OF INTEREST QUESTIONNAIRE BY E-MAIL TO THE BOARD OF DIRECTORS AND THEY ARE ASKED TO COMPLETE IT AND RETURN IT TO THE FOUNDATION. THE RETURNED QUESTIONNAIRE IS KEPT ON FILE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS AND THE PRESIDENT OF BOONE HOSPITAL CENTER USE BENCHMARK DATA FROM SIMILAR FOUNDATIONS AND REVIEW THE FOUNDATION'S ANNUAL STRATEGIC FUNDRAISING PLAN AND BUDGET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVIALABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART V, LINE 2A: EMPLOYEES ARE LEASED BY THE FOUNDATION FROM THE ORGANIZATION THAT RUNS THE HOSPITAL UNDER AN AGREEMENT WITH BOONE COUNTY. THEREFORE, THE FOUNDATION HAS SALARY EXPENSE, BUT DOES NOT ISSUE W-2'S. BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL 1600 E BROADWAY COLUMBIA MO 65201 MO 501(C)(3) LINE 6 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1