2013-04-09T11:05:59-07:00 2012-06-30 990 2011-07-01 431786058 SAINT LOUIS CONNECTCARE SAIN 3148796308 5535 Delmar Blvd St Louis MO 63112 Robert Salmo 3148796221 2013-05-14 2011 2016-02-25 16:41:14Z Robert Salmo 5535 Delmar Blvd St Louis MO 63112 23144618 0 X www.stlouisconnectcare.org X 1997 MO Provision of health services to uninsured and underinsured residents of St Louis City and County. 14 13 202 73 0 0 6557005 5132756 16971101 16822648 2543 2328 1288633 1158586 24819282 23116318 0 0 0 0 10131770 10046747 0 0 16417 9403724 10589123 19535494 20635870 5283788 2480448 13415760 16456113 1953333 2513238 11462427 13942875 We provide EXCEPTIONAL healthcare services to our communities one patient at a time. 0 0 17418265 0 23116318 Health Care Delivery and Management, General/Other: Saint Louis Connectcare provided Urgent Care/Specialities/Diagnostic services for over 37,000 physician Encounters with over 9,600 Radiology test and over 31,000 prescription filled. We also provided over 12,000 laboratory test. we provided over 4,800 outside referrals on our pateints, that we paid for in collaorating hositals at a cost of nearly 2.9 million. Our van transportation services provided nearly 15,000 trips to patients without means to get to their medical appointments and or pick up prescriptions. We pfovided over 1218 ASC proceudres. 0 0 0 17418265 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 0 202 1 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X Robert Salmo 3148796221 5535 Delmar Blvd St Louis MO 63112 Patricia Gray 0.50 X X 0 0 0 James Buford 1 X X 0 0 0 Donald Kalicak 0.50 X X 0 0 0 Michael A DeHaven 1 X X 0 0 0 Melody Eskridge 48 X X X 217889 0 22767 Melba Moore 0.25 X 0 0 0 Gregory Carter 0.25 X 0 0 0 Robert Porter 0.25 X 0 0 0 Frank Williamson 0.25 X 0 0 0 Lisa Gould Walker 0.25 X 0 0 0 David Clifford 0.25 X 0 0 0 Dolores Gunn MD 0.25 X 0 0 0 James Crane MD 0.25 X 0 0 0 Pamela Walker 0.25 X 0 0 0 Robert Salmo 48 X 135134 0 15138 Gail Montgomery Edwards 48 X 134429 0 2009 Myung Kang 40 X 176751 0 11340 Jesse Poblete MD 40 X 185878 0 17971 G Maurice Rankin 48 X 136857 0 9218 Christine Jones 48 X X 148562 0 8631 1135500 0 87074 11 1 1 0 Eye Associates 5535 Delmar Blvd St Louis MO 63112 Medical Services 118940 Quest Diagnostics P O Box 740709 Atlanta GA 30374 Laboratory 121541 St Louis University Hospital Tenat P O Box 676786 Dallas TX 75267 Medical Service 127634 3 0 0 28300 0 5006000 98456 0 5132756 Dispropriationate Share Hospital 621000 14400000 14400000 0 0 Patient Accounts 621000 1415540 1415540 0 0 Rents 900099 369421 369421 0 0 Medicare/Medicaid Programs 621999 637687 637687 0 0 0 0 0 0 16822648 2328 2328 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28300 28300 28300 0 0 0 Transportation 480000 146472 146472 0 0 Pharmacy Rebates 446110 301782 301782 0 0 Medical Records, GME and Other 621990 704750 704750 0 0 5582 5582 0 0 1158586 23116318 17983562 0 0 0 0 0 0 0 0 0 0 903500 229041 674459 0 0 0 0 0 7618250 6629686 975636 12928 141704 119024 22542 138 706332 455055 249688 1589 676961 436628 239306 1027 0 0 0 0 27098 16534 10564 0 50532 0 50532 0 0 0 0 0 0 0 0 0 0 0 314708 263135 51573 0 36334 31906 4428 0 2018288 1731065 287223 0 18007 17107 900 0 0 0 0 0 1343840 1330055 13285 500 13983 7148 6835 0 0 0 0 0 16554 4808 11746 0 33595 19975 13620 0 0 0 0 0 892644 612751 279658 235 736420 710080 26340 0 Purchased Medical Services 3489098 3489098 0 0 Other Purchased Services 1354270 1180665 173605 0 All Other Expenses 243752 134504 109248 0 20635870 17418265 3201188 16417 7132618 10471162 0 0 0 0 367716 540134 0 0 0 0 0 0 232999 252995 159129 231064 12343750 8772975 3865571 3570775 0 0 0 0 0 0 0 0 1657727 1389983 13415760 16456113 1953333 2513238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1953333 2513238 X 11462427 13942875 0 0 0 0 11462427 13942875 13415760 16456113 2480448 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 9363034 6654514 2708520 0 2980716 2118461 862255 0 0 0 0 3570775 Due from RCG 83599 Misc Receivables 46138 AR other programs 9902 Due from the City of St Louis 1250000 MODOT Transportation 344 1389983 23116318 20635870 2480448 0 0 0 0 0 0 2480448 24937940 0 1821622 0 0 1821622 23116318 0 0 0 23116318 22457492 1821622 0 0 0 1821622 20635870 0 0 0 20635870 Gala 28300 17000 11300 0 0 3300 7550 450 0 0 0 28300 17000 11300 0 0 3300 7550 450 0 11300 0 1 0 0 0 0 0 0 0 0 Melody Eskridge 217889 0 0 0 0 0 6364 0 16403 0 240656 0 221675 Jesse Poblete MD 185878 0 0 0 0 0 5708 0 16851 0 208437 0 205152 0 Myung Kang 176751 0 0 0 0 0 5363 0 8555 0 190669 0 186930 0 Christine Jones 148562 0 0 0 0 0 3433 0 5198 0 157193 0 53576 0 Robert Salmo 135134 0 0 0 0 0 3684 0 11454 0 150272 0 144849 0 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Christine E Jones received a separation payment of $26,923.00 due to her separation from the organization in August 2011. The payment represents an amount equal to eight weeks pay of her salary at the time of her separation. The payment was reported to her on her 2011 Form W-2 as taxable compensation. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The form is completed by the Finance Director, then it goes to the CFO and CEO to be reviewd, prior to it being distributed to our Audit and Finance Committee, and then it is distributed to the full Board of Directors. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Corporate Compliance policies are governed by the Compliance Investigation that are summarized below. 1. Compliance will assess all credible reports of alleged violations of criminal, civil or administrative law and will consult legal counsel. (2) If it is determined that the violation falls within the scope of an ongoing investigation by a govermental authority compliance will, with the assistance of legal counsel present to the investigating governmental authority the relevant information pertaining to the violation. (3) If it is determioned that SLCC received a payment from a governmental health or social services program as a result of a violation of law, SLCC will take the steps necessary to correct the problem and to prevent a reoccurance (4) Compliance will advise and inform appropriate Executive Management staff as necessary F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The CEO's compensation is set after the review of compensation of CEO's, whose roles are comparable to this organizaitons CEO. The compensation review committee is comprised of the combined Audit and Finance and Executive Committee Members. Compensation of other executive staff is based on compensation surveys and is approved by the CEO in consultation with the highest level of Human Resources Staff. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 We make our documents avaialble on the following webistes. Saint Louis Connectcare - www.stlconnectcare.org, Better Business Accrediated Charity - www.bbb.org/us/charity, Guidestar - www.guidestar.org. We also have these documents availalbe upon written request. After our annual audit ws completed, our next scheduled Board of Directors meeting was on March 21, 2013.