2014-05-10T15:07:53-05:00 2013-06-30 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2012-07-01 430666765 Ranken Jordan Home for Convalescent Crippled Children % JEAN BARDWELL RANK 3148726400 11365 Dorsett Road Suite Maryland Heights MO 63043 LAUREEN K TANNER 3148726400 2014-05-09 true 3142315544 2012 2015-11-30 17:44:51Z Laureen K Tanner 11365 Dorsett Road Maryland Heights MO 63043 42280300 false X www.rankenjordan.org X 1940 MO RANKEN JORDAN IS ONE OF ONLY A HANDFUL OF PEDIATRIC SPECIALTY HOSPITALS NATIONWIDE THAT CARE FOR CHILDREN WITH COMPLEX MEDICAL NEEDS, REGARDLESS OF THEIR ABILITY TO PAY. 30 27 376 286 0 2493847 6564750 26680063 26892043 556224 694369 361422 -33738 30091556 34117424 0 65845 0 0 16384253 18012432 25000 41000 909749 8406790 10281249 24816043 28400526 5275513 5716898 56323818 64613383 22194067 24253080 34129751 40360303 RANKEN JORDAN PEDIATRIC SPECIALTY HOSPITAL PROVIDING A CONTINUUM OF CARE FOR MEDICALLY COMPLICATED CHILDREN AND THEIR FAMILIES. false false 20179680 25283156 DURING THE CURRENT FISCAL YEAR, RANKEN JORDAN PROVIDED 10,356 DAYS OF MEDICAL CARE FOR INPATIENTS. OF THOSE DAYS, 86% WERE FOR 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 ENTIRE FAMILY HAS BEEN WELL TRAINED TO PROVIDE QUALITY CARE, AND THEY HAVE A SAFE ENVIRONMENT TO GO HOME TO. 1535410 1618607 DURING THE CURRENT FISCAL YEAR RANKEN JORDAN PROVIDED 31,816 UNITS OF OUTPATIENT SERVICES TO CHILDREN REQUIRING INTENSIVE THERAPY. RANKEN JORDAN PROVIDES PHYSICIAL, OCCUPATIONAL, SPEECH AND AQUATIC THERAPIES ON AN OUTPATIENT BASIS. RANKEN JORDAN ALSO OFFERS A MEDICAL DAY PROGRAM, THAT PROVIDES INTENSIVE THERAPY THROUGHOUT THE DAY. RANKEN JORDAN HAS EXPANDED IT'S OUTPATIENT PROGRAMS TO INCLUDE CONSTRAINT INDUCED MOVEMENT THERAPY, PAIN MANAGEMENT SERVICES, AND PHYSIATRY SERVICES. 219344 0 A VARIETY OF COMMUNITY PROGRAMS ARE ALSO PROVIDED TO SUPPORT CHILDREN WITH COMPLEX MEDICAL NEEDS AND THEIR FAMILIES. THESE PROGRAMS ARE ALWAYS OFFERED FREE OF CHARGE AND OPEN TO THE GENERAL PUBLIC. 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 3,875 INDIVIDUALS WERE SERVED BY THE COMMUNITY PROGRAMS DURING THE YEAR. THIS PROGRAM CONTINUES TO GROW ANNUALLY. 21934434 true true false true false false false false false true true false false false true false true false false false false false false true true false true true true false true true false false false false false false false false true true false false false false false false false false false true 15 0 true 376 true false false false false false true true false false false false X 30 27 true false false false false false false true true false false true true true true true true true true false X JEAN BARDWELL 3148726400 11365 DORSETT ROAD ST LOUIS MO 63043 X RICHARD A VANDEGRIFT 3.0 X 0 0 0 JOHN PROSPERI 1.0 X 0 0 0 THOMAS J MINOGUE 3.0 X X 0 0 0 STEVE CORTOPASSI 10.0 X X 0 0 0 BEVERLY BATES 1.0 X 0 0 0 WALTER BAZAN JR 1.0 X 0 0 0 CHRIS CIOFFI 1.0 X 0 0 0 SONDRA M DENK 3.0 X X 0 0 0 GEORGE R EDINGER SR 3.0 X X 0 0 0 R BRUCE FRAZER 1.0 X 0 0 0 STEVEN HARPOLE 1.0 X 0 0 0 NITA FOWLER JOHNSON DDS 1.0 X 0 0 0 MICHAEL MAURER JR MD 1.0 X 0 0 0 JEREMY MICHELMAN 1.0 X 0 0 0 BETSY PROSPERI 1.0 X 0 0 0 JEANA REISINGER 1.0 X 0 0 0 PAUL SCHWETZ 1.0 X 0 0 0 RABBI MARK L SHOOK 1.0 X 0 0 0 LAUREEN K TANNER 50.0 X X 358813 0 14758 NICHOLAS HOLEKAMP MD 50.0 X X 346577 0 15435 NOREEN JENNEY LAFFEY 1.0 X 0 0 0 MICHAEL SCULLY 1.0 X 0 0 0 MIKE DETWILER 1.0 X 0 0 0 DAVID DREW 1.0 X 0 0 0 CHARLES HESSLER 1.0 X 0 0 0 MIKE MATHENY 1.0 X 0 0 0 KATHLEEN WEHRFRITZ 1.0 X 0 0 0 NICK WILLIAMSON 1.0 X 0 0 0 JIM BURDISS 1.0 X 0 0 0 DEREK GLANVILL 1.0 X 0 0 0 JEAN L BARDWELL 50.0 X 237790 0 11638 R BRETT MOOREHOUSE 50.0 X 190381 0 6490 SUSAN CONGER MD 40.0 X 226519 0 12912 SUZANNE L'ECUYER 40.0 X 191173 0 10499 EUGENE EVRA MD 40.0 X 184058 0 10357 AMY ZIMMERMANN MD 40.0 X 201272 0 10393 JENNIFER E KAUFMAN MD 40.0 X 165991 0 6096 2102574 0 98578 17 false true false MEDICAL STAFFING NETWORK 901 YAMATO ROAD SUITE 110 BOCA RATON FL 33431 STAFFING SERVICES 109420 MB CONSULTING GROUP 225 S MERAMEC SUITE 621 ST LOUIS MO 63105 IT SERVICES 119998 2 602101 54463 5908186 20012 6564750 INSURANCE & PRIVATE PAYMENTS 621110 3139824 3139824 MEDICAID PAYMENTS 621110 19137028 19137028 FEES FROM GOV'T AGENCIES 621110 2719258 2719258 EHR GRANT INCOME 621110 1372525 1372525 MEDICARE & OTHER PATIENT REVENUE 621110 523408 523408 26892043 378478 378478 0 0 0 0 0 8258587 7942696 315891 315891 315891 176722 602101 220180 -43458 -43458 0 0 MEDICAL RECORDS 561000 4598 4598 MISCELLANEOUS REVENUE 900099 5122 5122 9720 34117424 26901763 650911 65845 65845 0 0 0 1224439 306110 758196 160133 0 13388886 10522009 2512067 354810 331800 255850 70994 4956 2020183 1419167 537373 63643 1047124 832293 177847 36984 0 101555 101555 78218 78218 0 41000 41000 0 1519421 1445295 32590 41536 151497 145437 4545 1515 1805525 1558627 156330 90568 0 0 423130 406205 12694 4231 58031 56282 1312 437 0 152719 146610 4582 1527 880324 880324 0 1378933 1323776 41368 13789 570171 524557 28509 17105 FED REIMBURSEMENT ALLOW. 1435728 1320870 71786 43072 REPAIRS AND MAINTENANCE 762682 732175 22880 7627 EQUIPMENT 411982 395503 12359 4120 BAD DEBT 304052 304052 0 0 247281 173771 50814 22696 28400526 21934434 5556343 909749 8940 25785 213025 297765 915139 4803660 5134241 4256356 0 0 0 0 0 0 0 0 1059528 1505425 35285665 7719578 24900225 27566087 23764518 25843422 0 0 0 0 0 0 328202 314883 56323818 64613383 2458320 3295975 0 0 56275 201419 19294058 18857981 0 0 0 0 251250 0 0 0 134164 1897705 22194067 24253080 X 32911486 33995059 1218265 6365244 0 0 34129751 40360303 56323818 64613383 5716898 513654 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1601 true 61097 false 62698 false OTHER ACTIVITIES PART II-B, LINE 1i LOBBYING EXPENSES ARE INCURRED THROUGH ASSOCIATIONS WITH NATIONAL ORGANIZATIONS OF WHICH THE ORGANIZATION IS A MEMBER. PAYMENTS WERE MADE TO CONSULTANTS FOR ASSISTANCE WITH CONTACTING LEGISLATORS REGARDING THE EFFECTS OF HEALTHCARE LEGISLATION ON THE TAXPAYER AND TO ASSIST THE TAXPAYER WITH PLANNING AND IMPLEMENTING LEGISLATIVE STRATEGIES. 20868160 6724788 616258 6219110 23917 21966179 18507511 5378092 -179792 2699858 137793 20868160 16070629 3690757 1354101 2550504 57472 18507511 14096841 3500494 372077 1854247 44536 16070629 11483755 4844155 -634839 1559321 36909 14096841 0.71023 0.28978 true false 759000 1600177 2359177 20887985 4223730 16664255 3637628 2505223 1132405 8400875 990625 7410250 27566087 0 OTHER LIABILITIES 182371 CERNER LONG-TERM LIABILITY 1715334 1897705 34327026 513654 513654 33813372 304052 304052 34117424 28096474 28096474 304052 304052 28400526 USE OF ENDOWMENT FUNDS PART V, LINE 4 THE FUNDS ARE TO BE USED FOR DEBT SERVICE RESERVE, FUTURE CAPITAL IMPROVEMENTS, AND PURCHASE OF EQUIPMENT OR USE IN ORGANIZATION'S OPERATIONS. RECONCILIATION OF REVENUE AND EXPENSES PER AFS PART XI & PART XII, LINE 4B BAD DEBT EXPENSE $304,052 FIN 48 DISCLOSURE PART X, LINE 2 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. X X X X X X true EMD CONSULTING 11111 CONWAY ROAD ST LOUIS MO 63131 CAPITAL CAMPAIGN false 5057880 41000 5016880 5057880 41000 5016880 DINNER AUCTION 339581 241712 97869 1500 66933 3100 47553 GOLF TOURNAMENT 127040 77601 49439 116 23008 21151 15356 3 312202 282788 29414 838 12525 750 27350 778823 602101 176722 954 37033 88834 3100 90259 220180 -43458 EMD CONSULTING PART I, LINE 2B THE SERVICES OF EMD CONSULTING WERE USED TO LAUNCH A CAPITAL CAMPAIGN FOR BUILDING EXPANSION. EMD CONSULTING WAS INVOLVED IN THE PLANNING OF THE CAPITAL CAMPAIGN, CONDUCTING MARKET RESEARCH, AND ADVISING ON THE MATERIALS TO BE USED IN THE CAMPAIGN. true true false false true true false true true 138066 138066 0.00490 25782708 24640262 1142446 0.04070 6883135 5369262 1513873 0.05390 32803909 30009524 2794385 0.09950 2770 160228 160228 0.00570 961 271500 271500 0.00970 586 77580 77580 0.00280 4317 509308 509308 0.01820 4317 33313217 30009524 3303693 0.11770 1 32 5850 5850 0.00020 1 32 5850 5850 0.00020 true 304052 304052 17570 61700 -44130 X false 1 1 The Ranken Jordan Home for Convalesce

11365 Dorsett Road Maryland Heights MO 63043

X X Pediatric Specialty Hospital The Ranken Jordan Home for Convalesce 1 true X X X X X X X X X 12 true false true X X X X X X X X true false true false false true X true true X X X X X X true false X X true X false false CHARITY CARE ELIGIBILITY PART I, LINE 3C IF A PATIENT DOES NOT HAVE COMMERCIAL INSURANCE AND DOES NOT QUALIFY FOR MEDICAID, THEY WOULD BE ELIGIBLE FOR CHARITY CARE. CHARITY CARE & CERTAIN OTHER COMMUNITY BENEFITS AT COST PART I, LINE 7, COLUMN (F) THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $304,052 REPORTED ON PART IX, LINE 25, HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. CHARITY CARE & CERTAIN OTHER COMMUNITY BENEFITS AT COST PART I, LINE 7 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. BAD DEBT EXPENSE PART III, LINE 4 SEE THE PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS. MEDICARE 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. FINANCIAL ASSISTANCE POLICY PART V, LINE 10 & 11 IF A PATIENT DOES NOT HAVE COMMERCIAL INSURANCE AND DOES NOT QUALIFY FOR MEDICAID, THEY WOULD BE ELIGIBLE FOR CHARITY CARE. FINANCIAL ASSISTANCE POLICY PART V, LINE 12 RANKEN JORDAN HAS NO INPATIENTS THAT LEAVE WITH A BALANCE, SO THERE IS NO PATIENT CHARGE. FOR OUTPATIENTS, RANKEN JORDAN CHARGES PATIENTS ONLY WHAT THEIR INSURANCE COMPANY WOULD HAVE PAID IF THEY HAD BENEFITS. NEEDS ASSESSMENT PART VI, LINE 2 The very nature of the hospital facility's care delivery model has embedded within it a continual process of health needs assessment for the community it serves. Daily communication occurs between the patients, families and the facility's multi-disciplinary team. These communications encompass not only the current care needs of the patient, but what desires they and their families have for the future and for their peers in the medially complex community. As a result of these communications Ranken Jordan works to enact changes with the hospital facility to best meet these identified needs, in addition to working with the community at large to foster access to and understanding of the needs and services for the medically complex community. More specifically, the hospital facility's Pediatric Health Related Services Department ("PHRS") works to address the concerns and desired needs of patients and families with regards to their child's health and outcomes, finding developmentally appropriate activities and programs to bolster the child's quality of life, and to foster community involvement for medically complex children. Within the PHRS department, the hospital facility utilizes a Community Program Coordinator whose full FTE is dedicated to creating, implementing, and evaluating the way in which the needs of the community served by the hospital facility are met. This includes putting in place programs directed at meeting the hospital facility's inpatient population as well as the pediatric population at large, building relationships with community partners to enhance community offerings, advocating on behalf of the medically complex community, surveying program participants as to whether the attended program met their needs, determining what changes in programming need to be made in the future, and an overall evaluation of whether or not Ranken Jordan is meeting the needs of the medically complex community. On a state and national level, Ranken Jordan is an active member of the Missouri Hospital Association, American Hospital Association and National Association of Children's Hospitals, in order to stay informed of the latest research and trends. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 THEIR 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 SERVES AND THE MISSION OF THE ORGANIZATION, NO INPATIENT RECEIVES A BILL FOR CARE RECEIVED. RANKEN JORDAN DOES NOT WORK WITH OR TURN ANY PATIENTS ACCOUNTS OVER FOR COLLECTION. COMMUNITY INFORMATION 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. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 Ranken Jordan provides the community with many opportunities 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 limitations. Educational 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. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 RANKEN JORDAN IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. COLLECTION PRACTICES PART III, LINE 9A 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. COLLECTION ACTIVITIES WOULD GO AGAINST THE MISSION OF RANKEN JORDAN, TO CARE FOR CHILDREN "REGARDLESS OF THEIR ABILITY TO PAY". BILLING AND COLLECTIONS PART V, LINE 18 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". BAD DEBT EXPENSE PART III, LINE 2 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 EXPENSE PART III, LINE 3 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. COMMUNITY HEALTH NEEDS ASSESSMENT PART V, LINE 3 In conducting the CHNA, the hospital facility took into account input from persons who represent the community in the following manner: 1. Focus Group In January 2013, Ranken Jordan founded its Patient and Family Advisory Council (PFAC). Consisting of staff, present and former patients and family members, PFAC's vision is to be a transformational force in the evolution and advancement of patient and family-centered care in pediatrics, maximizing outcomes for patients and families through collaboration and teamwork. While establishing a venue to gather needs assessment information, PFAC also works to create a patient and family-centered environment which promotes the best possible medical and emotional outcomes for Ranken Jordan patients and family members. Goals of PFAC include: Enhance communication between patients, family members, and the Ranken Jordan team. Empower patients, family members and staff through continuous education Identify and address patient and family needs in all aspects (body, mind, and spirit) throughout their Ranken Jordan journey and during the transition home. Promote the best possible medical and emotional outcomes for patients and family members. Initially meeting bi-monthly, PFAC is scheduled to meet once a month for approximately 2 hours. Participation is voluntary. In April 2013, PFAC was resourced to facilitate a focus group. In total, 8 community persons participated. Discussion was held in an organic conversational setting. A staff facilitator prompted the focus group with the broad question of "what do members of this community need" and allowed the group to discuss and vet thoughts and opinions. Ultimately the focus group identified several needs that fall into the overarching category of quality of life. CHNA IMPLEMENTATION PLAN PART V, LINE 5 RANKEN JORDAN HAS POSTED BOTH ITS CHNA REPORT AND ITS IMPLEMENTATION PLAN ON ITS WEBSITE. THESE REPORTS CAN BE ACCESSED AT http://www.rankenjordan.org/LinkClick.aspx?fileticket=Iapk1JUu%2bfY%3d&tab id=56 true USE OF GRANT FUNDS PART I, LINE 2 THE ORGANIZATION ONLY MAKES GRANTS TO PRE-SELECTED CHARITABLE ORGANIZATIONS. GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS PART II, LINE 1 NO INDIVIDUAL RECIPIENT RECEIVED MORE THAN $5,000. X true true X X X X X X false true false false false false false true false LAUREEN K TANNER 280495 0 35000 0 43318 0 10870 0 3888 0 373571 0 JEAN L BARDWELL 166482 0 50854 0 20454 0 7100 0 4538 0 249428 0 R BRETT MOOREHOUSE 162881 0 27500 0 0 0 5724 0 766 0 196871 0 NICHOLAS HOLEKAMP MD 268255 0 50523 0 27799 0 10534 0 4901 0 362012 0 SUSAN CONGER MD 209489 0 10310 0 6720 0 6974 0 5938 0 239431 0 SUZANNE L'ECUYER 189994 0 1179 0 0 0 5874 0 4625 0 201672 0 EUGENE EVRA MD 182932 0 1126 0 0 0 5663 0 4694 0 194415 0 AMY ZIMMERMANN MD 200246 0 1026 0 0 0 6165 0 4228 0 211665 0 JENNIFER E KAUFMAN MD 165991 0 0 0 0 0 5012 0 1084 0 172087 0 HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES PART I, LINE 1(A) THERE 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. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PART I, LINE 4B LAUREEN TANNER AND NICK HOLEKAMP ARE PARTICIPANTS IN A 457(F) PLAN. CONTRIBUTIONS IN THE AMOUNT OF $9,960 AND $10,799 RESPECTIVELY WERE MADE ON THEIR BEHALF. NON-FIXED PAYMENTS PART 1, LINE 7 INCENTIVES PAID BY THE ORGANIZATION ARE DISCRETIONARY. THE BOARD DETERMINES IF/WHEN INCENTIVES WILL BE PAID AT THE END OF THE FISCAL YEAR. THEY RESEARCH CURRENT EXECUTIVE SALARIES OF LIKE ORGANIZATIONS, RESULTS OF THE YEAR, AND BENEFITS PACKAGES, TO COME TO A DETERMINATION. THERE IS NO WRITTEN AGREEMENT OR GUARANTEE INCENTIVES WILL BE PAID ANNUALLY. THE FOLLOWING INDIVIDUALS RECEIVED THE NON-FIXED PAYMENT: LAUREEN K. TANNER NICHOLAS HOLEKAMP R. BRETT MOOREHOUSE JEAN L. BARDWELL SUSAN C. CONGER AMY C. ZIMMERMAN SUZANNE N. L'ECUYER EUGENE EVRA A IDA OF THE COUNTY OF ST LOUIS MISSOURI 431170145 79130GFG1 2003-07-31 19294554 ORIGINAL ISSUE FOR BUILDING CONSTR true true false B IDA OF THE COUNTY OF ST LOUIS MISSOURI 431170145 79130GGZ8 2007-04-12 21082299 REFUNDING ORG ISSUE SERIES 2003A-C false true false A 0 19294554 19294554 0 0 15781813 863845 0 0 17491494 1417169 0 2007 false false true true B 0 0 21082299 0 0 0 399583 0 0 0 20760310 0 2007 false true true true A false false false false true 0.00000 0.00000 0.00000 false false false true B false false false false true 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true A false B false DATE OF REBATE COMPUTATION: PART IV, LINE 2C THE REBATE COMPUTATION WAS PERFORMED ON NOVEMBER 15, 2012. LISA MONTELEONE DAUGHTER OF G EDINGER 110548 EMPLOYEE false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS PART IV Transactions with two organizations of which two Ranken board members are officers were below the threshold for reporting on Schedule L. DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, QUESTION 2 JOHN PROSPERI (BOARD MEMBER) AND ELIZABETH PROSPERI (BOARD MEMBER) HAVE A FAMILY RELATIONSHIP. REVIEW PROCESS FORM 990, PART VI, SECTION B, QUESTION 11B THE 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. COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE 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 HAS ADDED THE POSITION OF COMPLIANCE OFFICER/RISK MANAGER AS A FULL TIME POSITION DURING THE CURRENT FISCAL YEAR. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A/B THE 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. PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.