St Louis Regional Psychiatric Stabilization: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- St Louis Regional Psychiatric Stabilization (EIN 32-0346004)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201503179349306040
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T13:49:47-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N BROADWAY SUITE 600 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631022733 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320346004 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Louis Regional Psychiatric Stabilization | BusinessNameLine1Txt |
| Business Name Line2 | Center | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JOHN EILER | InCareOfNm |
| Business Name Control | STLO | BusinessNameControlTxt |
| Phone | 3149327110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5355 Delmar Blvd | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631123146 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN EILER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3149327110 | PhoneNum |
| Signature | 2015-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Troy A Lindsey | PreparerPersonNm |
| PTIN | P01041237 | PTIN |
| Phone | 3142315544 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN M EILER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5355 DELMAR BLVD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631123146 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,761,039 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stlpsc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | ADDRESSING THE COMMUNITY NEED FOR MORE SHORT-TERM MENTAL HEALTH SERVICES BY SERVING PATIENTS SUFFERING FROM MENTAL ILLNESS AND PSYCHIATRIC DISORDERS IN ST. LOUIS, MO METRO AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 112 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,103,044 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,075,872 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,843,169 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,679,031 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$30 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,308 | CYInvestmentIncomeAmt |
| PY Other Revenue | $726 | PYOtherRevenueAmt |
| CY Other Revenue | $4,828 | CYOtherRevenueAmt |
| PY Total Revenue | $6,946,909 | PYTotalRevenueAmt |
| CY Total Revenue | $6,761,039 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,802,303 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,727,268 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,144,606 | PYOtherExpensesAmt |
| CY Other Expenses | $2,033,771 | CYOtherExpensesAmt |
| PY Total Expenses | $6,946,909 | PYTotalExpensesAmt |
| CY Total Expenses | $6,761,039 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,896,431 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,131,929 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,729,373 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,964,871 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $167,058 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $167,058 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ADDRESSING THE COMMUNITY NEED FOR MORE SHORT-TERM MENTAL HEALTH SERVICES BY SERVING PATIENTS SUFFERING FROM MENTAL ILLNESS AND PSYCHIATRIC DISORDERS IN THE ST. LOUIS, MO METROPOLITAN AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,365,636 | ExpenseAmt |
| Revenue | $4,683,859 | RevenueAmt |
| Desc | THE ORGANIZATION WAS ESTABLISHED TO STEM THE FLOW OF CONSUMERS IN PSYCHIATRIC CRISIS INTO EMERGENCY ROOMS, TO PROVIDE A TREATMENT FACILITY FOR CONSUMERS THAT MAY BENEFIT FROM SHORT TERM CARE AND TO OFFER PSYCHIATRIC CARE TO CONSUMERS IN NEED. THE ORGANIZATION SEEKS TO PROVIDE CONSUMER FOCUSED CARE THROUGH OUR 24 HOUR CRISIS ACCESS CENTER AND BRIEF TREATMENT UNIT WITH LICENSED AND ACCREDITED STAFF THAT IS ABLE TO DIRECT THE CONSUMER TO FURTHER MEDICAL, SOCIAL AND PSYCHIATRIC SERVICES. | Desc |
| Total Program Service Expenses | $5,365,636 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 112 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN EILER | PersonNm |
| Phone | 3149327110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5355 DELMAR BLVD | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631123146 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICHARD J LIEKWEG | ||||||||
| CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANIEL J BODY | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK E STANSBERRY | ||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK D LEVINE MD | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH YANCEY | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM F SIEDHOFF | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LEE A BERNSTEIN | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN M EILER | ||||||||
| PRESIDENT | 40.0 | 0.0 | Yes (X) | $156,454 | $0 | $19,892 | ||
| GARY L BOZEMAN | ||||||||
| DIRECTOR OF FINANCE | 40.0 | 0.0 | Yes (X) | $85,598 | $0 | $6,783 | ||
| SHANNON JENNINGS MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $171,432 | $0 | $0 | Yes (X) | ||
| VADIM BARAM MD | ||||||||
| PHYSICIAN | 25.0 | 0.0 | $408,600 | $0 | $0 | Yes (X) | ||
| ZAHIRUL HAQUE MD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $174,693 | $0 | $17,482 | Yes (X) | ||
| STACY LYONS | ||||||||
| APRN | 40.0 | 0.0 | $142,628 | $0 | $2,967 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,139,405 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $47,124 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MPC | |||||
| 5351 DELMAR | ST LOUIS | MO | 63112 | DIETARY SERVICES | $297,419 |
| PHARMACY SYSTEMS INC | |||||
| 5050 BRADENTON AVENUE | DUBLIN | OH | 43017 | PHARMACY SERVICES | $199,981 |
| NETSMART TECHNOLOGIES INC | |||||
| PO BOX 823519 | PHILADELPHIA | PA | 19182 | IT SERVICES | $152,898 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,090,923 | GovernmentGrantsAmt |
| All Other Contributions | $984,949 | AllOtherContributionsAmt |
| Total Contributions | $2,075,872 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $4,679,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,679,031 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,679,031 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3 | TotalRevenueColumnAmt |
| Exclusion | $3 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,305 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,305 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,305 | TotalRevenueColumnAmt |
| Exclusion | $1,305 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,828 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,828 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,828 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,761,039 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,683,859 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,308 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,727 | TotalAmt |
| Management And General | $268,727 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,716,987 | TotalAmt |
| Program Services | $3,353,368 | ProgramServicesAmt |
| Management And General | $363,619 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,667 | TotalAmt |
| Program Services | $397,558 | ProgramServicesAmt |
| Management And General | $43,109 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,887 | TotalAmt |
| Program Services | $253,150 | ProgramServicesAmt |
| Management And General | $47,737 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,922 | TotalAmt |
| Management And General | $31,922 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,781 | TotalAmt |
| Management And General | $72,781 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,704 | TotalAmt |
| Program Services | $816,703 | ProgramServicesAmt |
| Management And General | $173,001 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25 | TotalAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,799 | TotalAmt |
| Program Services | $185,375 | ProgramServicesAmt |
| Management And General | $43,424 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,663 | TotalAmt |
| Program Services | $31 | ProgramServicesAmt |
| Management And General | $107,632 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,915 | TotalAmt |
| Program Services | $224,002 | ProgramServicesAmt |
| Management And General | $90,913 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,602 | TotalAmt |
| Program Services | $10,071 | ProgramServicesAmt |
| Management And General | $2,531 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16 | TotalAmt |
| Management And General | $16 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,754 | TotalAmt |
| Program Services | $7,754 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,999 | TotalAmt |
| Program Services | $92,469 | ProgramServicesAmt |
| Management And General | $37,530 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,643 | TotalAmt |
| Program Services | $18,683 | ProgramServicesAmt |
| Management And General | $87,960 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RECRUITMENT | $1,690 | $1,690 | |
| DUES & SUBSCRIPTIONS | $21,354 | $4,393 | $16,961 |
| OTHER EXPENSE | $7,904 | $389 | $7,515 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,761,039 | TotalAmt |
| Program Services | $5,365,636 | ProgramServicesAmt |
| Management And General | $1,395,403 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,438 | BOYAmt |
| EOY | $353,766 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,455,227 | BOYAmt |
| EOY | $1,329,888 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,193 | BOYAmt |
| EOY | $48,657 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,033 | BOYAmt |
| EOY | $4,320 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $577,687 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $416,840 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,540 | BOYAmt |
| EOY | $160,847 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $234,451 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,896,431 | BOYAmt |
| EOY | $2,131,929 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,452 | BOYAmt |
| EOY | $551,858 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,921 | BOYAmt |
| EOY | $677,013 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,000 | BOYAmt |
| EOY | $520,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $216,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,729,373 | BOYAmt |
| EOY | $1,964,871 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,058 | BOYAmt |
| EOY | $167,058 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,058 | BOYAmt |
| EOY | $167,058 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,896,431 | BOYAmt |
| EOY | $2,131,929 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,898 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,195 | DepreciationAmt |
| Book Value | $19,703 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $548,789 | OtherCostOrOtherBasisAmt |
| Depreciation | $407,645 | DepreciationAmt |
| Book Value | $141,144 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $160,847 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EST AMOUNTS DUE FROM MEDICARE | $23,434 |
| OTHER RECEIVABLES | $211,017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $234,451 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EST PROF LIABILITY CLAIMS | Desc |
| Amt | $216,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $216,000 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $6,759,734 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $6,759,734 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,305 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,305 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,761,039 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,759,734 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $6,759,734 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,305 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,305 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,761,039 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2 | UNCERTAIN TAX POSITIONS UNDER FIN 48 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS 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 XI, LINE 4B | RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN GAIN ON SALE OF ASSETS: $1,305 |
| PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN GAIN ON SALE OF ASSETS: $1,305 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,196,607 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,196,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.32490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,447,221 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,485,974 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,038,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,643,828 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,485,974 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,157,854 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,643,828 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,485,974 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,157,854 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $563,767 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $1,242,128 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,355,210 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$113,082 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STL REGIONAL PSYCHIATRIC STAB CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5355 DELMAR BLVD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.STLPSC.ORG | WebsiteAddressTxt |
| State License | 521-2 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STL REGIONAL PSYCHIATRIC STAB CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | X | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | X | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | X | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | false | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY IN CONDUCTING ITS CHNA, THE HOSPITAL OBTAINED INPUT FROM KEY STAKEHOLDERS THROUGH THE EASTERN REGION BEHAVIORAL HEALTH INITIATIVE AND REGIONAL PSYCHIATRIC CAPACITY ANALYSIS. PERSONS CONSULTED INCLUDED PRESIDENTS, CEOS, EXECUTIVE DIRECTORS, ETC. OF AREA HEALTH CENTERS AND ASSOCIATIONS. PLEASE REFER TO THE HOSPITAL'S CHNA FOR A COMPLETE LIST OF KEY STAKEHOLDERS. |
| PART V, SECTION B, LINE 7A | CHNA URL HTTP://WWW.STLPSC.ORG/WP-CONTENT/UPLOADS/2015/03/PSC-CHNA-FINAL-SIGNED-12- 23-2014.PDF |
| PART V, SECTION B, LINE 10A | IMPLEMENTATION STRATEGY URL HTTP://WWW.STLPSC.ORG/WP-CONTENT/UPLOADS/2015/03/PSC-CHNA-FINAL-SIGNED-12- 23-2014.PDF |
| PART V, SECTION B, LINE 11 | ADDRESSING SIGNIFICANT NEEDS THE NEED FOR MENTAL HEALTH SERVICES IS INCREASING IN THE ST. LOUIS REGION AND RECENT ASSESSMENTS AND ANALYSIS CONDUCTED BY THE ST. LOUIS REGIONAL HEALTH COMMISSION IDENTIFIED NEEDS SPECIFIC TO BEHAVIORAL HEALTH WHICH ARE SUMMARIZED IN KEY FINDINGS IN THE INPUT FROM KEY STAKEHOLDERS SECTION OF THIS REPORT. ADDRESSING THESE NEEDS IS IMPORTANT TO THE COMMUNITY. AS NOTED THROUGHOUT THIS REPORT, ST. LOUIS REGIONAL HEALTH COMMISSION, THROUGH ASSESSMENTS, ANALYSIS AND PLANNING, RECOMMENDED THE DEVELOPMENT OF A "PSYCHIATRIC ACUTE ACCESS CENTER/"BRIEF TREATMENT" UNIT" TO PROVIDE SERVICES IN EASTERN REGION OF MISSOURI. BASED ON THIS RECOMMENDATION, PSC WAS FOUNDED TO PROVIDE PSYCHIATRIC STABILIZATION SERVICES TO PATIENTS DURING TIMES OF CRISIS. THE FORMATION AND OPERATIONS OF THE PSC HAS BEEN A KEY STRATEGY OF THE EASTERN REGION PSYCHIATRIC ACUTE CARE TRANSFORMATION INITIATIVE. AS DESCRIBED IN THE INPUT FROM KEY STAKEHOLDERS SECTION OF THIS REPORT, THIS INITIATIVE HAS HAD SIGNIFICANT INPUT FROM MANY KEY STAKEHOLDERS IN THE COMMUNITY. DUE TO THE UNIQUENESS OF PSC'S SERVICES AND MISSION IN ADDITION TO THE FACT THAT THE HOSPITAL WAS FORMED WITHIN THE LAST THREE YEARS, HOSPITAL MANAGEMENT HAS DETERMINED THE PRIORITY FOR THE HOSPITAL HAS NOT CHANGED FROM ITS ORIGINAL MISSION OR PURPOSE WITHIN THE REGIONAL DELIVERY OF PSYCHIATRIC CARE TO THE COMMUNITY. |
| PART V, SECTION B, LINE 16A | FAP WEBSITE HTTP://WWW.STLPSC.ORG/HOME/FINANCIAL-ASSISTANCE/ |
| PART V, SECTION B, LINE 16B | FAP APPLICATION HTTP://DSS.MO.GOV/FSD/FORMSMANUAL/PDF/IM1MA.PDF |
| PART V, SECTION B, LINE 16C | FAP SUMMARY WEBSITE HTTP://WWW.STLPSC.ORG/HOME/FINANCIAL-ASSISTANCE/ |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN F | COMMUNITY BENEFIT PERCENTAGE OF TOTAL COST THE ORGANIZATION'S BAD DEBT EXPENSE, IF ANY, AS REPORTED ON PART IX, LINE 25 HAS BEEN SUBTRACTED FOR THE PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| PART I, LINE 7 | COMMUNITY BENEFIT COST THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7, USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. |
| PART III, LINE 4 | BAD DEBT EXPENSE THE CENTER RECORDS ITS PATIENT ACCOUNTS RECEIVABLE AT ITS ANTICIPATED NET COLLECTIBLE AMOUNT. THE CENTER TAKES AN ADJUSTMENT TO CONTRACTUAL ALLOWANCES FOR ALL PAYERS AT THE TIME OF BILLING TO GET PATIENT ACCOUNTS RECEIVABLE TO THE ESTIMATED NET REALIZABLE AMOUNT. IN ADDITION, ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO ACCOUNT FOR SELF-PAY PATIENTS AND POTENTIAL CHANGES IN FINANCIAL CLASS, E.G., MEDICAID PENDING THAT REVERTS TO SELF-PAY, OR OTHER POTENTIAL DIFFERENCES BETWEEN ANTICIPATED AND ACTUAL COLLECTION ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CENTER 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 CENTER ANALYZES THE AVERAGE PER DIEM AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY AND CERTAIN OUT-OF-STATE MEDICAID 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 CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES 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 | MEDICARE THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS ESTIMATED BY USING THE PERCENT OF OPERATING EXPENSE TO PATIENT REVENUE. |
| PART III, LINE 9B | COLLECTION PRACTICES UNDER THE ORGANIZATION'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED BILL, THE ORGANIZATION MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. THE ORGANIZATION WILL NOT IMPOSE EXTRAORDINARY COLLECTION ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. |
| PART VI, LINE 2 | NEEDS ASSESSMENT THE ORGANIZATION HAS PARTNERED WITH OTHER LOCAL HOSPITALS TO ASSESS THE NEEDS OF INPATIENT PSYCHIATRIC CARE AFTER A TREND OF COMPLETE AND PARTIAL CLOSURES OF EMERGENCY PSYCHIATRIC CARE UNITS. THE ASSESSMENTS ARE BASED ON THE EXTREMELY LONG WAIT TIMES AND THE LACK OF SUITABLE ENVIRONMENTS TO SAFELY PROVIDE EMERGENCY PSYCHIATRIC CARE TO PATIENTS. |
| PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS RECEIVE AN INITIAL SOCIAL WORK ASSESSMENT. DURING THIS ASSESSMENT, THE ELIGIBILITY AND ASSISTANCE POLICY IS REVIEWED WITH THE PATIENT. |
| PART VI, LINE 4 | COMMUNITY INFORMATION THE ORGANIZATION'S PRIMARY SERVICE AREA IS THE ST. LOUIS, MO METROPOLITAN AREA CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY, AND CLINTON IN ILLINOIS. |
| PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING ATTORNEY ASSIGNMENTS FOR ALL INVOLUNTARY COMMITMENT PROCEDURES IN THE ST. LOUIS REGION AND ACTIVELY PARTICIPATING IN ST. LOUIS REGIONAL HEALTH COMMISSION AND BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS. |
| PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM NOT APPLICABLE |
| PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT NOT APPLICABLE |
| PART III, LINE 2 | THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 WAS THE AMOUNT OF THE EXPENSE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, WHICH IS VALUED AT BILLED CHARGES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN M EILER | ||||||||||||||
| PRESIDENT | $156,454 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,892 | $0 | $176,346 | $0 | $0 | $0 |
| SHANNON JENNINGS MD | ||||||||||||||
| PHYSICIAN | $171,432 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $171,432 | $0 | $0 | $0 |
| VADIM BARAM MD | ||||||||||||||
| PHYSICIAN | $408,600 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $408,600 | $0 | $0 | $0 |
| ZAHIRUL HAQUE MD | ||||||||||||||
| PHYSICIAN | $174,693 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,482 | $0 | $192,175 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 6 | MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE ORGANIZATION ARE BJC HEALTHCARE AND SSM HEALTH CARE ST. LOUIS. |
| FORM 990, PART VI, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY EACH MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT TWO MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION, BOTH MEMBERS MUST JOINTLY SELECT A MEMBER OF THE BOARD OF DIRECTORS WHO REPRESENTS AN EMERGENCY MEDICAL SERVICES PROVIDER IN THE GREATER ST. LOUIS METROPOLITAN AREA. |
| FORM 990, PART VI, LINE 7B | GOVERNANCE DECISIONS CERTAIN POWERS WITH RESPECT TO THE ORGANIZATION ARE RESERVED TO THE MEMBERS. ALL POWERS RESERVED TO THE MEMBERS SHALL BE EXERCISED BY THE UNANIMOUS DECISION OF THE MEMBERS. THE RESERVED POWERS ARE AS FOLLOWS: 1. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS; 2. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE ORGANIZATION; 3. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION; 4. TO APPROVE ANY MERGER OR CONSOLIDATION TO WHICH THE ORGANIZATION IS A PARTY; 5. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; 6. TO APPROVE THE DISSOLUTION OF THE ORGANIZATION; 7. TO APPROVE THE ANNUAL BUDGET OF THE ORGANIZATION AND ANY AMENDMENT TO, MODIFICATION OF OR DEVIATION FROM THE ANNUAL BUDGET OF THE ORGANIZATION; AND 8. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE ORGANIZATION |
| FORM 990, PART VI, LINE 11B | PROCESS TO REVIEW FORM 990 THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND EMAILED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, LINE 12C | CONFLICT OF INTEREST POLICY THE ORGANIZATION DISTRIBUTES ANNUAL CONFLICT OF INTEREST STATEMENTS THAT MUST BE SIGNED AND RETURNED BY ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS. THERE HAVE BEEN NO CONFLICTS TO DATE. |
| FORM 990, PART VI, LINE 15A & 15B | PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIALS THE PRESIDENT'S COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS IN CONJUNCTION WITH HUMAN RESOURCES CONSULTANTS AND MISSOURI HOSPITAL ASSOCIATION COMPENSATION DATA. THE COMPENSATION FOR THE OTHER TOP MANAGEMENT OFFICERS IS REVIEWED WITH HUMAN RESOURCES CONSULTANTS AND MISSOURI HOSPITAL ASSOCIATION COMPENSATION DATA. |
| FORM 990, PART VI, LINE 19 | AVAILABILITY OF THE ORGANIZATION'S GOVERNING DOCUMENTS THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | FEES FOR OTHER SERVICES MEDICAL SERVICES 679,132 BILLING, PAYROLL & HR 164,123 HOUSEKEEPING & LINEN 85,612 CONSULTING SERVICES 52,296 OTHER FEES 8,541 --------- TOTAL OTHER FEES FOR SERVICES 989,704 |