2012-11-12T08:09:44-06:00 2011-12-31 431126847 WILLIAMS-KEEPERS LLC 2005 WEST BROADWAY SUITE 100 COLUMBIA MO 65203 990 2011-01-01 030477306 BOONE HOSPITAL FOUNDATION BOON 5738156868 1600 E BROADWAY COLUMBIA MO 65201 BARBARA DANUSER 5738152800 2012-11-07 1 STEPHEN C SMITH P00048938 5734426171 2011 2016-02-24 21:20:13Z BARBARA DANUSER 1600 E BROADWAY COLUMBIA MO 65201 4233935 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. 5 5 0 156 0 0 522378 431921 0 0 102445 327398 6789 21493 631612 780812 0 318250 0 0 104373 103262 0 0 0 268362 325625 372735 747137 258877 33675 7945751 7874956 776454 957991 7169297 6916965 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 140254 KNOW YOUR NUMBER HEALTH UNIT: THIS MOBILE HEALTH UNIT TRAVELS AROUND BOONE HOSPITAL CENTER'S SERVICE AREA PROVIDING FREE HEALTH SCREENINGS TO OUR COMMUNITIES. THE SCREENINGS INCLUDE CHOLESTEROL AND BLOOD SUGAR LEVELS, TRIGLYCERIDES, BLOOD PRESSURE AND BODY MASS INDEX. RESULTS ARE PROVIDED AT THE TIME OF SERVICE. A PERSONAL CONSULTATION AND EDUCATIONAL MATERIALS ARE PROVIDED HELPING OUR COMMUNITY MEMBERS TO IMPROVE THEIR HEALTH. 151771 142000 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. 177373 176250 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. 24692 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. THERE WERE NO SCHOLARSHIPS PAID DURING 2011. 46089 CONTINUING MEDICAL EDUCATION: THE FOUNDATION PROVIDED 192 HOURS OF CME ACCREDITED LIVE INSTRUCTION DURING THE YEAR. THIS ENCOMPASSES REGULARLY SCHEDULED COURSES, SUCH AS TUMOR BOARDS AND INFECTIOUS DISEASE COFERENCES; AS WELL AS QUARTERLY GENERAL STAFF MEETINGS; OUTREACH COURSES TO OUTLYING COMMUNITIES, E.G. JEFFERSON CITY PHYSICIANS AND FITZGIBBON HOSPITAL; JOINTLY-SPONSORED CONFERENCES, SUCH AS THE FULL DAY EVIDENCE BASED SURGICAL UPDATES FOR THE PRIMARY CARE PHYSICIAN, PROVIDED JOINTLY WITH BHC AND COLUMBIA SURGICAL ASSOCIATES; AND NEW REGIONAL INITIATIVES, SUCH AS THE CHILDHOOD OBESITY CONFERENCE. 1,184 PHYSICIAN ATTENDEES WERE RECORDED AT THESE EVENTS THROUGH 2011. 70781 540179 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 15 0 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X BARBARA DANUSER 5738152800 1600 E BROADWAY COLUMBIA MO 65201 FRED PARRY 8.00 X X 0 0 0 BRIAN NEUNER 8.00 X X 0 0 0 ROBERT WAGNER 8.00 X X 0 0 0 JAN BECKETT 8.00 X X 0 0 0 BARBARA WEAVER 8.00 X 0 0 0 BARBARA DANUSER 40.00 X 81417 0 15080 81417 0 15080 0 0 0 0 0 108200 323721 431921 270319 270319 3149769 3092690 57079 57079 57079 16900 108200 56351 -39451 -39451 365026 304082 60944 60944 780812 0 0 348891 318250 318250 93263 93263 3065 3065 706 706 6228 6228 1220 1220 27307 27307 38228 38228 5100 5100 19830 19830 3877 3877 5030 5030 800 800 433 433 PROGRAM SUPPORT EXPENSE 221929 221929 MISCELLANEOUS EXPENSES 1871 1871 747137 540179 206958 0 316604 550548 37373 60944 7550317 7232973 41457 30491 7945751 7874956 9788 157991 766666 800000 776454 957991 X 4740333 4537259 1721014 1671756 707950 707950 7169297 6916965 7945751 7874956 X 33675 -286007 X 0 1 0 X 0 X X X 0 0 0 BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL 431279063 6 0 1 1 142000 1 142000 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: BOONE HOSPITAL FOUNDATION TYPICALLY DOES NOT DISTRIBUTE FUNDS TO THE BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL, THE SUPPORTED ORGANIZATION. INSTEAD THE PROGRAMS FUNDED BY THE FOUNDATION BENEFIT THE PATIENTS DIRECTLY AND SUPPORT THE EFFORTS OF BOONE COUNTY HOSPITAL IN ITS EFFORTS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2428964 474432 70644 594334 2379706 2335835 212075 228254 347200 2428964 3518946 1185717 147001 2515829 2335835 0.29750 0.70250 0 0 0 NOTES PAYABLE TO BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL 800000 800000 780812 747137 33675 -376400 90393 -286007 -252332 428202 -376400 5716 -370684 798886 38277 -56351 -18074 780812 768426 3215 3215 765211 38277 -56351 -18074 747137 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: HEALTH CARE EDUCATIONAL INITIATIVES PART XI, LINE 8 - OTHER ADJUSTMENTS: WALTER JOHNSON PALLIATIVE CARE FOUNDATION MERGER 90,393. PART XII, LINE 2D - OTHER ADJUSTMENTS: WALTER JOHNSON PALLIATIVE CARE FOUNDATION - ACTIVITY REPORTED ON 2011 990 5,716. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -56,351. PART XIII, LINE 2D - OTHER ADJUSTMENTS: WALTER JOHNSON PALLIATIVE CARE FOUNDATION - ACTIVITY REPORTED ON 2011 990 3,215. PART XIII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -56,351. GALA 79350 69990 9360 2000 21496 5000 12340 GOLF TOURNAMENT 45750 38210 7540 3952 7540 2510 1513 125100 108200 16900 3952 9540 24006 5000 13853 56351 -39451 1 BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL 1600 E BROADWAY COLUMBIA MO 65201 170(B)(1)(A)(V) 142000 TO FUND THE CONSTRUCTION OF THE BOONE HOSPITAL HEALING GARDEN CH ALLIED SERVICES INC 1600 E BROADWAY COLUMBIA MO 65201 431279063 501(C)(3) 176250 TO FUND THE KNOW YOUR NUMBERS MOBILE HEALTH UNIT OPERATED BY BOONE HOSPITAL CENTER PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS WERE PAID AFTER COSTS WERE INCURRED BY THE RECIPIENTS. GRANTS ONLY PARTIALLY FUNDED THE PROJECTS INVOLVED. FORM 990, PART VI, SECTION B, LINE 11 COPIES OF THE FORM 990 ARE DISTRIBUTED TO THE BOARD OF TRUSTEES 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 TRUSTEES 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 TRUSTEES 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -376,400. WALTER JOHNSON PALLIATIVE CARE FOUNDATION MERGER 90,393. TOTAL TO FORM 990, PART XI, LINE 5: -286,007. 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. WALTER JOHNSON PALLIATIVE CARE FOUNDATION 1600 E BROADWAY COLUMBIA MO 65201 030477309 MO 501(C)(3) LINE 11B, II 0 BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL 1600 E BROADWAY COLUMBIA MO 65201 MO 501(C)(3) LINE 6 0 0 1 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1