SKAGGS COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SKAGGS COMMUNITY HOSPITAL ASSOCIATION (EIN 44-0584290)
Tax period: 2011-05-01 to 2012-04-30
Filed: 2012-12-11
IRS object ID: 201243469349300439
Schema version: 2011v1.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-12-11T20:56:47-06:00	Timestamp
Tax Period End Date	2012-04-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-05-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	440584290	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DAVID STRONG	InCareOfName
Name Control	SKAG	NameControl
Phone	4173357000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65615	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID STRONG	Name
Title	CFO	Title
Date Signed	2012-12-05	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brian D Todd	Name
Phone	4178658701	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MR WILLIAM MAHONEY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65615	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	185238539	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SKAGGS.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1950	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	THE HOSPITAL IMPROVES YOUR LIFE VIA EDUCATION, PREVENTION, AND ADVO- CACY; BY THE USE OF TECHNOLOGY; AND BY PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	1429	TotalNbrEmployees
Total Nbr Volunteers	326	TotalNbrVolunteers
Total Gross UBI	9000	TotalGrossUBI
Net Unrelated Business Txbl Income	-22476	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	815832	ContributionsGrantsPriorYear
Contributions Grants Current Year	587515	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	180655469	ProgramServiceRevenuePriorYear
Program Service Revenue CY	181820734	ProgramServiceRevenueCY
Investment Income Prior Year	275234	InvestmentIncomePriorYear
Investment Income Current Year	422840	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1199821	OtherRevenuePriorYear
Other Revenue Current Year	1158507	OtherRevenueCurrentYear
Total Revenue Prior Year	182946356	TotalRevenuePriorYear
Total Revenue Current Year	183989596	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	140014	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	385787	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	70944852	SalariesEtcPriorYear
Salaries Etc Current Year	67610329	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	112538923	OtherExpensePriorYear
Other Expenses Current Year	115478413	OtherExpensesCurrentYear
Total Expenses Prior Year	183623789	TotalExpensesPriorYear
Total Expenses Current Year	183474529	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-677433	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	515067	RevenuesLessExpensesCY
Total Assets BOY	113507476	TotalAssetsBOY
Total Assets EOY	108670196	TotalAssetsEOY
Total Liabilities BOY	63197947	TotalLiabilitiesBOY
Total Liabilities EOY	58180699	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	50309529	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	50489497	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF SKAGGS COMMUNITY HOSPITAL ASSOCIATION IS IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	126668164	Expense
Grants	149818	Grants
Revenue	153412912	Revenue
Description	HOSPITAL SERVICES - FOR THE FYE 4/30/2012 SKAGGS REGIONAL MEDICAL CENTER EXPERIENCED A 10.4 PERCENT DECREASE IN PATIENT ADMISSIONS FOR A TOTAL OF 6,366. OUTPATIENT VISITS SAW A 4.0 PERCENT DECLINE FOR A TOTAL OF 89,769 OUTPATIENT VISITS. THE EMERGENCY ROOM HAD A 4.7 PERCENT DECLINE IN VISITS FOR A TOTAL OF 38,503 VISITS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	33368699	Expense
Revenue	26601804	Revenue
Description	CLINIC SERVICES - FYE 4/30/2012 SAW A 23.7 PERCENT DECREASE IN CLINIC VISITS WITH 101,443 VISITS FOR THE FISCAL YEAR. SKAGGS CLINICS HAVE FOCUSED ATTENTION TO INITIATIVES IN FISCAL YEAR 2012 THAT INCLUDED INCREASING FAMILY MEDICINE AVAILABILITY, EXPANDING OB-GYN SERVICES AT SKAGGS HEALTHCARE-248 FACILITY, WORKING IN COLLABORATION WITH SKAGGS MEDICAL HOME AND STRENGTHENING THE AREA OF ELECTRONIC MEDICAL RECORDS THROUGH MEANINGFUL USE AND COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) AT CLINICS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2025783	Expense
Grants	80819	Grants
Revenue	1797018	Revenue
Description	HOME HEALTH SERVICES - FOR THE FYE 4/30/2012 THERE WERE 9,407 VISITS WHICH WAS A 9.5 PERCENT DECREASE OVER THE PRIOR YEAR. SKAGGS HOME HEALTH SERVICES INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, MEDICAL SOCIAL SERVICE, PERSONAL CARE ASSISTANCE, NUTRITIONAL CONSULTATION, AND RESPIRATORY CONSULTATION. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	162062646	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	161	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1429	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID STRONG	NamePerson
Telephone Number	4173357789	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65615	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
PHIL LOYD
SECRETARY	3.0	X	X	0	0	0
DENNIS NEWKIRK
TREASURER THROUGH 07/2011, DIR	3.0	X	X	0	0	0
DAVID SMITH
CHAIRMAN	3.0	X	X	0	0	0
BOB SIMMONS
DIRECTOR	3.0	X		0	0	0
JOHN ANGLUM
DIRECTOR THROUGH 08/2011	3.0	X		0	0	0
RAEANNE PRESLEY
DIRECTOR	3.0	X		0	0	0
JIM KANEASTER
VICE CHAIRMAN	3.0	X	X	0	0	0
LYNN ALLISON MD
DIRECTOR	3.0	X		0	0	0
JAMES BERRY
DIRECTOR	3.0	X		0	0	0
JANICE WILLIAMS
DIRECTOR	3.0	X		0	0	0
LARRY SCHMITT
TREASURER BEG. 08/2011	3.0	X	X	0	0	0
TONY WHEELER
DIRECTOR	3.0	X		0	0	0
RICHARD BLUBAUGH
DIRECTOR BEG. 08/2011	3.0	X		0	0	0
BOB MCDOWELL
DIRECTOR BEG. 08/2011	3.0	X		0	0	0
WILLIAM MAHONEY
CEO	40.0		X	358414	0	29061
DAVID STRONG
CFO	40.0		X	206102	0	27781
DIANE CORNELISON DO
PHYSICIAN	40.0			539133	0	24409	X
NARIN ARUNAKUL MD
PHYSICIAN	40.0			871341	0	31852	X
MITTIE M DRAGOSLJVICH MD
PHYSICIAN	40.0			933184	0	50986	X
JOHN W HUFFMAN DO
PHYSICIAN	40.0			563198	0	34846	X
CHRIS R REEVES DO
PHYSICIAN	40.0			631404	0	41568	X
PETER MARCELLUS MD
FORMER DIR. MEDICAL AFFAIRS				220003	0	27950		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4322779	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	268453	TotalOtherCompensation
Number Individuals GT100 K	64	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
CORNERSTONE PHYSICIANS
CONTRACT PHYSICIANS	5108388
WHITE RIVER ANESTHESIA ASSOCIATION
CONTRACT PHYSICIANS	1273672
NUCLEAR DIAGNOSIS INC
NUC MED STUDIES	921695
SOUND PHYSICIANS
HOSPITALIST SERVICES	560128
PROVIDER SOLUTIONS LLC
CONTRACT PHYSICIANS	1503381

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	60	NumberOfContractorsGT100K
Related Organizations	221137	RelatedOrganizations
Government Grants	41101	GovernmentGrants
All Other Contributions	325277	AllOtherContributions
Total Contributions	587515	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	624100	178100762	178100762
CAFETERIA	722210	757558	757558
GIFT SHOP	453220	185709	185709
MANAGEMENT FEES	561000	464270	464270
OTHER	900099	2312435	2303435	9000

Field	Value	IRS element (for citing)
Total Program Service Revenue	181820734	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	323544	TotalRevenueColumn
Exclusion	$323,544	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1273937	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	148079	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1125858	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1125858	TotalRevenueColumn
Exclusion	$1,125,858	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1179071	Securities
Other	21089	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1087701	Securities
Other	13163	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	91370	Securities
Other	7926	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	99296	TotalRevenueColumn
Exclusion	$99,296	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	INCOME FROM EQUITY INVESTEE	Description
Business Code	900099	BusinessCode
Total Revenue Column	32649	TotalRevenueColumn
Exclusion	$32,649	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	32649	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	183989596	TotalRevenueColumn
Related Or Exempt Function Income	181811734	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	9000	UnrelatedBusinessRevenue
Exclusion	$1,581,347	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	304968	Total
Program Services	304968	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	80819	Total
Program Services	80819	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	741585	Total
Management And General	741585	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	284802	Total
Program Services	284802	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	55547051	Total
Program Services	48835839	ProgramServices
Management And General	6711212	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1231122	Total
Program Services	1099639	ProgramServices
Management And General	131483	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5824150	Total
Program Services	5218170	ProgramServices
Management And General	605980	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3981619	Total
Program Services	3493272	ProgramServices
Management And General	488347	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	60840	Total
Management And General	60840	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	181759	Total
Management And General	181759	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	27822406	Total
Program Services	20703127	ProgramServices
Management And General	7119279	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	557839	Total
Program Services	25566	ProgramServices
Management And General	532273	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4337525	Total
Program Services	2804258	ProgramServices
Management And General	1533267	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	49439	Total
Management And General	49439	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4196467	Total
Program Services	3595430	ProgramServices
Management And General	601037	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	125496	Total
Program Services	96126	ProgramServices
Management And General	29370	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	358724	Total
Program Services	201198	ProgramServices
Management And General	157526	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2359232	Total
Program Services	2138788	ProgramServices
Management And General	220444	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9161919	Total
Program Services	8305838	ProgramServices
Management And General	856081	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2243077	Total
Program Services	1121445	ProgramServices
Management And General	1121632	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	33428840	33428840
LICENSES, DUES & SUBSCRIPTIONS	324378	149842	174536
MEDICAL SUPPLIES & DRUGS	22898616	22898616
PROVIDER TAX	7055509	7055509

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	316347	Total
Program Services	220554	ProgramServices
Management And General	95793	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	183474529	Total
Program Services	162062646	ProgramServices
Management And General	21411883	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1320177	BOY
EOY	1833191	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	19307649	BOY
EOY	18200476	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	18827506	BOY
EOY	16689828	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	189333	BOY
EOY	130750	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2224258	BOY
EOY	2387964	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2062302	BOY
EOY	2112085	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	154485778	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	109851192	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	49238005	BOY
EOY	44634586	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	11130143	BOY
EOY	11226233	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	7723830	BOY
EOY	7729508	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	119865	BOY
EOY	6552	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1364408	BOY
EOY	3719023	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	113507476	BOY
EOY	108670196	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14511610	BOY
EOY	11562941	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	37120000	BOY
EOY	35845000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	11566337	BOY
EOY	10772758	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	63197947	BOY
EOY	58180699	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	42898017	BOY
EOY	43207357	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7411512	BOY
EOY	7282140	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	50309529	BOY
EOY	50489497	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	113507476	BOY
EOY	108670196	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	515067	ReconcilationRevenueExpenses
Reconcilation Other Changes	-335099	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$17,933	OtherActivitiesAmount
Total Lobbying Expenditures IIB	17933	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1(I)	ReturnReference
Explanation	THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3851167	OtherCostOrOtherBasis
Book Value	3851167	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	60388630	OtherCostOrOtherBasis
Depreciation	41434248	Depreciation
Book Value	18954382	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10939325	OtherCostOrOtherBasis
Depreciation	2805729	Depreciation
Book Value	8133596	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70768642	OtherCostOrOtherBasis
Depreciation	61528913	Depreciation
Book Value	9239729	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8538014	OtherCostOrOtherBasis
Depreciation	4082302	Depreciation
Book Value	4455712	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	44634586	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BENEFICIAL INT IN TRUST	7282140	C
INV IN BRANSON ORTHO/NEURO CTR	367543	C
INV IN SKAGGS HLTH SYSTEM PHO	79825	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	7729508	TotalOfBookValueSecurities
Total Revenue	183989596	TotalRevenue
Total Expenses	183474529	TotalExpenses
Excess Or Deficit For Year	515067	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-205727	NetUnrealizedGLOnInvestments
Other	-$129,372	OtherAmount
Total Adjustments	-335099	TotalAdjustments
Excess Or Deficit Per FS	179968	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	150332689	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-205727	NetUnrealizedGainsInvestments
Other Revenues	-33599259	OtherRevenues
Revenue Not Rptd F990	-33804986	RevenueNotRptdF990
Revenue Subtotal	184137675	RevenueSubtotal
Other Revenues Not Included	-148079	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-148079	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	183989596	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	150152721	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	148079	OtherExpensesIncluded
Expenses Not Rptd F990	148079	ExpensesNotRptdF990
Expenses Subtotal	150004642	ExpensesSubtotal
Other Expenses Not Included	33469887	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	33469887	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	183474529	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
UNCERTAIN TAX POSITIONS	SCHEDULE D, 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.
OTHER CHANGES IN NET ASSETS	SCHEDULE D, PART XI, LINE 8	$(129,372) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12	SCHEDULE D, PART XII, LINE 2D	$(33,428,840) BAD DEBT EXPENSE ( 129,372) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST ( 41,047) OTHER CONTRACT FEES -------------- $(33,599,259)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1	SCHEDULE D, PART XII, LINE 4B	$(148,079) RENTAL EXPENSES
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25	SCHEDULE D, PART XIII, LINE 2D	$ 148,079 RENTAL EXPENSES
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1	SCHEDULE D, PART XIII, LINE 4B	$ 33,428,840 BAD DEBT EXPENSE 41,047 OTHER CONTRACT FEES -------------- $ 33,469,887

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	225.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1713948	TotalCommunityBenefitExpense
Net Community Benefit Expense	1713948	NetCommunityBenefitExpense
Percent Of Total Expense	0.01140	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24288346	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19583410	DirectOffsettingRevenue
Net Community Benefit Expense	4704936	NetCommunityBenefitExpense
Percent Of Total Expense	0.03140	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26002294	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19583410	DirectOffsettingRevenue
Net Community Benefit Expense	6418884	NetCommunityBenefitExpense
Percent Of Total Expense	0.04280	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	154598	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16992	DirectOffsettingRevenue
Net Community Benefit Expense	137606	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	206887	TotalCommunityBenefitExpense
Net Community Benefit Expense	206887	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19998493	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17955906	DirectOffsettingRevenue
Net Community Benefit Expense	2042587	NetCommunityBenefitExpense
Percent Of Total Expense	0.01360	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49151	TotalCommunityBenefitExpense
Direct Offsetting Revenue	871	DirectOffsettingRevenue
Net Community Benefit Expense	48280	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	304968	TotalCommunityBenefitExpense
Net Community Benefit Expense	304968	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20714097	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17973769	DirectOffsettingRevenue
Net Community Benefit Expense	2740328	NetCommunityBenefitExpense
Percent Of Total Expense	0.01820	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46716391	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37557179	DirectOffsettingRevenue
Net Community Benefit Expense	9159212	NetCommunityBenefitExpense
Percent Of Total Expense	0.06100	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	3480	TotalCommunityBuildingExpense
Net Community Building Expense	3480	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	16700	TotalCommunityBuildingExpense
Net Community Building Expense	16700	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	4188	TotalCommunityBuildingExpense
Net Community Building Expense	4188	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	8860	TotalCommunityBuildingExpense
Net Community Building Expense	8860	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	33228	TotalCommunityBuildingExpense
Net Community Building Expense	33228	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$33,428,840	BadDebtExpenseAmount
Amount Attributable To	5148041	AmountAttributableTo
Amount Reimbursed By Medicare	44725559	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	46057342	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1331783	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
BRANSON ORTHONEURO
MEDICAL BUILDING	0.89000	0.00000	0.11000
SKAGGS HEALTH SYSTEM
MEDICAL SUPPORT	0.50000	0.00000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HEALTH CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	251 SKAGGS ROAD	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65616	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS COMMUNITY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	225.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	9	NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SKAGGS ORTHONEURO CENTER
101 CAHILL RD	BRANSON	MO	65616	OUTPATIENT DEPTS PHYSICIAN CLINICS
SKAGGS OUTPATIENT CENTER
545 N BRANSON LANDING BLVD	BRANSON	MO	65616	OUTPATIENT DEPTS PHYSICIAN CLINICS
SKAGGS SOUTHSIDE CLINICS
590 BIRCH ST	HOLLISTER	MO	65672	PHYSICIAN CLINIC
SKAGGS MEDICAL EAST
13852 ST HWY 160	FORSYTH	MO	65653	PHYSICIAN CLINIC
SKAGGS MEDICAL WEST
11863 ST HWY 13	KIMBERLING CITY	MO	65686	PHYSICIAN CLINIC
BRANSON WEST MEDICAL CAREREHAB
18452 ST HWY 13	BRANSON WEST	MO	65737	OUTPATIENT DEPTS PHYSICIAN CLINICS
STONE COUNTY PT DEPARTMENT
17565 ST HWY 13	REEDS SPRING	MO	65737	OUTPATIENT DEPTS
MARY'S WELL HOUSE
5136 HWY 265	BRANSON	MO	65616	PHYSICIAN CLINIC
FITNESS CENTER
1500 BRANSON HILLS PKWY	BRANSON	MO	65616	FITNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY FOR FREE CARE	SCHEDULE H, PART I, LINE 3A	PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 150% OF THE FPL ARE ELIGIBLE TO RECEIVE NONELECTIVE/MEDICALLY NECESSARY CARE DISCOUNTED AT 100% AFTER A $20 ENCOUNTER PAYMENT.
PERCENT OF TOTAL EXPENSE	SCHEDULE H, PART I, LINE 7, COLUMN F	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER FORM 990, PART IX, LINE 25 ($183,474,529) WAS REDUCED BY BAD DEBT EXPENSE ($33,428,840).
COST TO CHARGE RATIO	SCHEDULE H, PART I, LINE 7	THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1, 3, AND 6.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A, LINE 4	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE ORGANIZATION CALCULATED BAD DEBT USING THE AMOUNTS CALCULATED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.
COMMUNITY BENEFIT RATIONALE	SCHEDULE H, PART III, SECTION B, LINE 8	THE HOSPITAL IS DESIGNATED BY MEDICARE AS A SOLE COMMUNITY HOSPITAL AND AS SUCH, IS THE SOLE SOURCE OF HOSPITAL CARE WITHIN A 35-MILE RADIUS. AS A LARGE RURAL HOSPITAL, MINIMUM STAFFING MUST BE MAINTAINED REGARDLESS OF SWINGS IN PATIENT VOLUME. WITHOUT THE HOSPITAL, MEDICARE PATIENTS WOULD NEED TO TRAVEL SIGNIFICANT DISTANCES TO RECEIVE HOSPITAL CARE. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
JOINT VENTURE OWNERSHIP PERCENTAGE	SCHEDULE H, PART IV, LINE 1, COLUMNS (C) & (E)	THE BRANSON ORTHO/NEURO OWNERSHIP PERCENTAGES LISTED IN COLUMNS (C) AND (E) ARE AS OF BRANSON ORTHO/NEURO'S TAX YEAR END, 12/31/2011. IN FISCAL YEAR 2012, THE HOSPITAL PURCHASED THREE PHYSICIANS' MEMBERSHIP INTERESTS. THE HOSPITAL'S OWNERSHIP PERCENTAGES AS OF 4/30/2012 EQUALED 89 PERCENT AND THE PHYSICIANS' OWNERSHIP PERCENTAGES EQUALED 11 PERCENT.
DETERMINATION OF MAXIMUM AMOUNTS CHARGED	SCHEDULE H, PART V, SECTION B, LINE 19	ALL UNINSURED PATIENTS RECEIVE A 30% DISCOUNT, THIS AMOUNT IS LESS THAN ANY OF OUR MANAGED CARE CONTRACTS. THE FINANCIAL ASSISTANCE PATIENTS WHO RECEIVE 100% CHARITY ARE REQUIRED TO PAY A $20 ENCOUNTER PAYMENT. PATIENTS APPROVED FOR 75% CHARITY CARE, WILL PAY 25% OF CHARGES, WITH A $40 ENCOUNTER PAYMENT. PATIENTS APPROVED FOR 50% CHARITY CARE ARE REQUIRED TO PAY 50% OF CHARGES WITH A $40 ENCOUNTER PAYMENT. THE ENCOUNTER PAYMENT AMOUNT IS BASED ON AVERAGE INSURANCE CO-PAYMENTS. THE MAXIMUM AMOUNT CHARGED TO OUR QUALIFYING PATIENTS, AS A PERCENTAGE OF GROSS CHARGES IS LESS THAN ANY OF OUR MANAGED CARE CONTRACTS.
NEEDS ASSESSMENT		SKAGGS REGIONAL MEDICAL CENTER WORKS CLOSELY WITH ITS COMMUNITY THROUGH ITS RELATIONSHIP WITH ITS 120-PLUS TRUSTEES WHO ARE COMMUNITY LEADERS FROM TANEY AND STONE COUNTIES. SKAGGS ALSO MAINTAINS A STRONG RELATIONSHIP WITH AREA HEALTH DEPARTMENTS MONITORING THE HEALTH CARE NEEDS OF OUR COMMUNITY.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		SKAGGS REGIONAL MEDICAL CENTER SCREENS ALL SELF-PAY PATIENTS FOR MEDICAID BY OUTSOURCING SELF-PAY TO SEE IF PATIENTS QUALIFY FOR ENTITLEMENT. IF THEY DO NOT QUALIFY, THEY WILL TALK TO A FINANCIAL COUNSELOR, WHO WILL SCREEN THEM FOR CHARITY. WE ALSO HAVE SIGNS THAT INCLUDE "THIS HOSPITAL DOES PARTICIPATE IN THE MEDICAID PROGRAM."
COMMUNITY INFORMATION		SKAGGS REGIONAL MEDICAL CENTER CONSIDERS TANEY AND STONE COUNTIES AS ITS PRIMARY SERVICE AREA WITH CHRISTIAN COUNTY, BOONE COUNTY AND PARTS OF CARROLL COUNTY IN NORTHERN ARKANSAS AS ITS SECONDARY SERVICE AREA. THE TOTAL POPULATION OF ZIP CODES SERVED BY SRMC IS APPROXIMATELY 144,000. THE PROJECTED POPULATION GROWTH IN THESE AREAS, ESPECIALLY THE CONTINUING MIGRATION INTO THE AREA OF RETIREES, IS A SIGNIFICANT FACTOR IN THE EVER-INCREASING NEED FOR HIGH-TECH MEDICAL SERVICES. THE POPULATION AGE 65 YEARS OR OLDER IN TANEY COUNTY IS 17.71 PERCENT, WHILE STONE COUNTY IS 24.24 PERCENT. AS A TOURIST DESTINATION, THE BRANSON/LAKES AREA HAS A STRONG SERVICE INDUSTRY WORKFORCE WHO OFTEN DON'T HAVE HEALTHCARE BENEFITS. THE MEDIAN HOUSEHOLD INCOME IN TANEY COUNTY IS $39,026 AND $41,351 IN STONE COUNTY. TANEY AND STONE COUNTIES ARE PROJECTED TO GROW FROM A POPULATION OF 68,361 IN 2000 TO 108,387 BY 2030.
COMMUNITY BUILDING ACTIVITIES		SKAGGS REGIONAL MEDICAL CENTER CONTINUES TO PROVIDE MANY COMMUNITY OUTREACH PROGRAMS THROUGH ITS SPEAKERS' BUREAU, COMMUNITY SCREENINGS AND EDUCATION PROGRAMS. SKAGGS REACHES MORE THAN 12,000 INDIVIDUALS THROUGH THESE EFFORTS.
PROMOTION OF COMMUNITY HEALTH		SKAGGS REGIONAL MEDICAL CENTER HAS A 13-MEMBER BOARD OF DIRECTORS WHO ARE ELECTED FROM THE 120-PLUS TRUSTEES. SEVERAL THOUSANDS OF DOLLARS ARE SPENT EACH YEAR OFFERING FREE OR LOW-COST SCREENINGS TO THE COMMUNITY AND EDUCATIONAL PROGRAMS. SKAGGS PHYSICIANS AND STAFF ARE COMMITTED TO EDUCATING THE COMMUNITY TO HELP ENSURE A HEALTHIER FUTURE. CPR CLASSES, SMOKING CESSATION CLASSES, PRENATAL CLASSES, ETC. ARE ALL FOCUSED ON GIVING OUR COMMUNITY MEMBERS THE RESOURCES THEY NEED TO MAKE INFORMED DECISIONS.
AFFILIATED HEALTH CARE SYSTEM		THE SKAGGS HEALTH CARE SYSTEM INCLUDES THE SKAGGS COMMUNITY HOSPITAL ASSOCIATION, SKAGGS FOUNDATION, AND BRANSON ORTHO/NEURO CENTER, LLC. THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY WHOSE PURPOSE IS TO RAISE FUNDS FOR THE BENEFIT OF THE HOSPITAL. ORTHO/NEURO IS A LIMITED LIABILITY CORPORATION THAT OWNS A BUILDING IN BRANSON, MISSOURI, AND LEASES SPACE TO HEALTH CARE PROFESSIONALS FOR OUTPATIENT SERVICES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
JOHN Q HAMMONS FOUNDATION INC
300 S J Q HMNS PKWY STE 900	SPRINGFIELD	MO	65806	431521852	501(C)(3)	7500	SUPPORT
COLLEGE OF THE OZARKS
PO BOX 17	POINT LOOKOUT	MO	65726	440556862	501(C)(3)	102000	SUPPORT
SKAGGS FOUNDATION
PO BOX 650	BRANSON	MO	65615	300107007	501(C)(3)	155150	SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
TUITION ASSISTANCE	26	39718
HOME HEALTH CARE	6	41101

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	MONITORING USE OF GRANT FUNDS	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	THE HOSPITAL NURSING ADMINISTRATION IS IN CONTACT WITH THE NURSING SCHOOL ADMINISTRATION OF THE COLLEGE OF THE OZARKS REGARDING THE STATUS OF THE PROGRAM, FUTURE PLACEMENT OPPORTUNITIES, ETC. EMPLOYEES MUST MEET A NUMBER OF QUALIFICATIONS TO QUALIFY FOR TUITION ASSISTANCE. FOLLOWING COMPLETION OF THE COURSE, THE EMPLOYEE MUST SUBMIT, IN WRITING, A REQUEST FOR A CHECK NOT TO EXCEED $1,000. THE REQUEST MUST BE ACCOMPANIED WITH A STATEMENT FROM THE SCHOOL WITH A BREAKDOWN OF CHARGES AND GRADES ARE SUBMITTED TO THE HUMAN RESOURCE DIRECTOR. DURING THE FISCAL YEAR, THE HOSPITAL ALSO DONATED $102,000 TO THE COLLEGE. THE DONATION TO THE JOHN Q HAMMONS FOUNDATION WAS GIVEN FOR THE PRICE CUTTER CHARITY CHAMPIONSHIP, WHICH IS AN ANNUAL EVENT HELD TO RAISE MONEY FOR LOCAL CHILDREN'S CHARITIES. THE JOHN Q HAMMONS FOUNDATION DISTRIBUTED THE MONETARY GIFTS RAISED TO 43 CHILDREN'S CHARITIES IN THE OZARKS. SKAGGS FOUNDATION IS A RELATED ORGANIZATION OF SKAGGS COMMUNITY HOSPITAL ASSOCIATION AND HAS SHARED FINANCIALS WITH THE ORGANIZATION. AS A RESULT, IT IS ABLE TO MONITOR USE OF GRANT FUNDS. THE HOME HEALTH CARE PROGRAM RECEIVES GRANT MONEY FROM THE SOUTHWEST MO OFFICE ON AGING IN TANEY COUNTY FOR USE TO COVER EXPENSES RELATED TO THE HOMEMAKER PROGRAM. EMPLOYEES WHO INCUR EXPENSES RELATED TO THIS PROGRAM ARE REIMBURSED WITH THIS GRANT MONEY. THE HOSPITAL'S HOME HEALTH DEPARTMENT MONITORS THE USE OF THESE GRANT FUNDS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DIANE CORNELISON DO
536225	0	0	0	2908	0	14532	0	9877	0	563542	0	0	0
PETER MARCELLUS MD
219140	0	0	0	863	0	8933	0	19017	0	247953	0	0	0
WILLIAM MAHONEY
358040	0	0	0	374	0	4900	0	24161	0	387475	0	0	0
DAVID STRONG
203443	0	0	0	2659	0	4186	0	23595	0	233883	0	0	0
NARIN ARUNAKUL MD
844593	0	0	0	26748	0	10500	0	21352	0	903193	0	0	0
MITTIE M DRAGOSLJVICH MD
658173	0	263127	0	11884	0	27000	0	23986	0	984170	0	0	0
JOHN W HUFFMAN DO
563192	0	0	0	6	0	19061	0	15785	0	598044	0	0	0
CHRIS R REEVES DO
589808	0	0	0	41596	0	20126	0	21442	0	672972	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
GROSS-UP PAYMENTS	SCHEDULE J, PART I, LINE 1	DOCTORS ARUNAKUL, REEVES, AND DRAGOSLJVICH RECEIVED GROSS-UP PAYMENTS ON FORGIVEN PRINCIPAL AND INTEREST. ALL AMOUNTS WERE TREATED AS TAXABLE.
INCENTIVE PAYMENTS	SCHEDULE J, PART I, LINE 7	THE PHYSICIANS ARE ELIGIBLE FOR AN INCENTIVE PAYMENT, BASED ON REACHING A THRESHOLD SET BY THE CEC. ONCE THE PHYSICIANS' WORK RELATIVE VALUE UNITS (WRVU) ARE IN EXCESS OF THIS THRESHOLD ON AN ANNUAL BASIS THE PHYSICIAN RECEIVES A INCENTIVE. THE INCENTIVE IS CALCULATED ON 15% OF THE PHYSICIANS WRVU BASE RATE MULTIPLIED BY THE NUMBER OF WRVU'S IN EXCESS OF THAT THRESHOLD. THIS INCENTIVE IS ONLY COMPENSATED ONCE A YEAR AND IS CALCULATED IN OCTOBER. PHYSICIANS WHO HAVE A GUARANTEE ARE NOT ELIGIBLE FOR THE INCENTIVE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF TANEY CO	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	431288274	IssuerEIN
CUSIP Number	87539NBQ8	CUSIPNumber
Date Issued	2005-11-17	DateIssued
Issue Price	17635000	IssuePrice
Description Of Purpose	CONSTRUCT AND EQUIP HOSPITAL FACIL	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	2700000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	18700518	TotalProceeds
Amount In Reserve Fund	1227527	AmountInReserveFund
Capitalized Interest	562209	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	0	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	16910892	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	true	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	true	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	AIG MATCHED FUNDING	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of GIC	23.4	TermOfGIC
Regulatory Safe Harbor Satisfied	true	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	true	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	TAX EXEMPT BOND	Identifier
Return Reference	SCHEDULE K, PART II, LINE 3	ReturnReference
Explanation	THE AMOUNT ENTERED IN PART II, LINE 3 IS GREATER THAN THE "ISSUE PRICE" OF THE BONDS ENTERED ON PART I, COLUMN (E) BECAUSE OF INVESTMENT EARNINGS THAT WERE EARNED ON THE BOND PROCEEDS DEPOSITED IN THE PROJECT FUND AND DEBT SERVICE RESERVE FUND. INVESTMENT EARNINGS ON THE DEBT SERVICE RESERVE FUND WERE ONLY TAKEN INTO ACCOUNT THROUGH THE END OF THE "PROJECT PERIOD" IN 2009.	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
DR NARIN ARUNAKUL
RELOCATION AGREEMENT	X	$50,000	10000	false	false	true
DR REEVES
RETURN TO HOSP AREA	X	$200,000	120750	true	true	true

Field	Value	IRS element (for citing)
Total Balance Due	130750	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SKAGGS HEALTH SYSTEM
SEE PART V.	105567	PHO DUES & ADMIN FEES	false
BRANSON ORTHONEURO LLC
SEE PART V.	645131	JOINT VENTURE INVESTMENT	false
WHITE RIVER VALLEY ELECTRIC COOP
SEE PART V.	169441	ELECTRIC SERVICE	false
CONNIE MARCELLUS
SPOUSE OF PETER MARCELLUS	24413	COMPENSATION	false

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
LOANS TO INTERESTED PERSONS	SCHEDULE L, PART II, LINE 2, COLUMN E	DR. REEVES IS NO LONGER EMPLOYED BY THE HOSPITAL. THE PHYSICIAN AND THE HOSPITAL ARE WORKING ON A LOAN RE-PAYMENT AGREEMENT.
TRANSACTIONS WITH INTERESTED PERSONS	SCHEDULE L, PART IV, COLUMN B	(1) SKAGGS HEALTH SYSTEM AND SKAGGS COMMUNITY HOSPITAL SHARE COMMON BOARD MEMBERS, INCLUDING: JAMES BERRY, PHIL LOYD, AND DENNIS NEWKIRK. ADDITIONALLY, CEO WILLIAM MAHONEY AND CFO DAVID STRONG SERVE ON THE BOARD OF SKAGGS HEALTH SYSTEM. (2) THE HOSPITAL IS A MEMBER OF A JOINT VENTURE, BRANSON ORTHO/NEURO, LLC, WITH VARIOUS PHYSICIANS. ONE OF THESE PHYSICIANS, DR. MARCELLUS, WAS A FORMER KEY EMPLOYEE. NONE OF THE OTHER PHYSICIAN MEMBERS WERE INTERESTED PERSONS DURING THE FISCAL YEAR ACCORDING TO THE SCHEDULE L, PART IV, FILING INSTRUCTIONS. (3) BOB SIMMONS, A BOARD MEMBER OF SKAGGS COMMUNITY HOSPITAL, IS ALSO A BOARD MEMBER OF WHITE RIVER VALLEY ELECTRIC COOP.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION SUMMARY	FORM 990, PART I, LINE 1	THE SKAGGS TEAM INCLUDES THE EMPLOYEES, PHYSICIANS, BOARD MEMBERS, TRUSTEES AND VOLUNTEERS OF SKAGGS REGIONAL MEDICAL CENTER. THE SKAGGS TEAM IS DEDICATED TO ACHIEVING THE ORGANIZATION'S MISSION BY TAKING A LEADERSHIP ROLE IN WELLNESS THROUGH EDUCATION, PREVENTION AND ADVOCACY; SERVING OUR PATIENTS THROUGH THE USE OF MODERN TECHNOLOGY BY SKILLED PROFESSIONALS AND PROVIDING COMFORT AND PRIVACY WHILE PRESERVING DIGNITY IN ASSISTING INDIVIDUALS TO REACH THEIR HIGHEST QUALITY OF LIFE. THE SKAGGS TEAM ACCOMPLISHES THIS BY PROVIDING THE CLEANEST, FRIENDLIEST AND SAFEST HEALTHCARE ENVIRONMENT YOU WILL EVER EXPERIENCE; WITH AN ORGANIZED, CARING, HONEST TEAM THAT TAKES PRIDE IN ITS WORK; BY PROVIDING OUR HEALTH SYSTEM SERVICES IN CONVENIENT, ACCESSIBLE FACILITIES; BY PROVIDING INDIVIDUALIZED CARE FOR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS; BY TREATING EACH OTHER AS WE WOULD WANT TO BE TREATED; BY EMPOWERING OUR TEAM MEMBERS TO DO WHATEVER IT TAKES TO ANTICIPATE NEEDS AND SOLVE CHALLENGES AS THEY ARISE; BY ENCOURAGING OUR TEAM TO BE PROACTIVE IN PERSONAL HEALTH AND WELLNESS AND WITH FINANCIAL INTEGRITY AND STABILITY. THE SKAGGS TEAM STRIVES TO FULFILL THIS MISSION BY PARTNERING WITH THOSE WE SERVE TO ACHIEVE THE HIGHEST LEVEL OF SATISFACTION.
PROGRAM SERVICE ACHIEVEMENT #1	FORM 990, PART III, LINE 4A	SKAGGS REGIONAL MEDICAL CENTER PROVIDES THE FOLLOWING AREAS OF SERVICE: CANCER, CARDIAC, DIABETES & ENDOCRINOLOGY, EAR NOSE & THROAT, EMERGENCY & URGENT CARE, FAMILY MEDICINE, HOME CARE, HOSPICE, IMAGING & RADIOLOGY, LABORATORY & PATHOLOGY, NEPHROLOGY & DIALYSIS, NEUROLOGY, OCCUPATIONAL HEALTH, ORTHOPEDICS, PEDIATRICS, PSYCHIATRY, PULMONOLOGY/CRITICAL CARE, REHABILITATION & THERAPY, RHEUMATOLOGY, SLEEP DISORDER CENTER, SOCIAL SERVICES, SURGERY, UROLOGY, WOMEN'S SERVICES AND WOUND CARE. IN MAY OF 2011 SKAGGS PHYSICIANS AND STAFF DONATED TIME TO PROVIDE STUDENT ATHLETIC PHYSICALS TO SEVERAL HUNDRED BRANSON JUNIOR HIGH AND HIGH SCHOOL STUDENTS. THIS WAS A FREE SERVICE PROVIDED BY SKAGGS. AS SUMMER KICKED OFF IN MAY 2011, SKAGGS TEAMED UP WITH AREA EMERGENCY RESPONSE AGENCIES TO PROVIDE SAFETY EDUCATION TO AREA YOUTH. THIS WAS AN OUTDOOR/INDOOR EVENT HELD AT THE BRANSON RECPLEX WITH BOOTHS AND PRIZES FOR ATTENDEES. ALSO IN MAY, SKAGGS TEAMED UP WITH TANEY COUNTY AMBULANCE DISTRICT TO PURCHASE EKG TRANSMITTING SYSTEMS, WHICH PROVIDE FASTER TREATMENT FOR CARDIAC PATIENTS. THE LIFENET SYSTEM IS USED ON AMBULANCE PATIENTS SUSPECTED OF SUFFERING A HEART ATTACK. AN EKG REPORT BEATS THE PATIENT TO THE HOSPITAL, WHERE IF DETERMINED A HEART ATTACK IN PROGRESS, PROVIDERS ARE PREPARED TO TREAT IMMEDIATELY. IN AUGUST 2011 SKAGGS INPATIENT HOSPITAL CARE WAS NAMED AMONG THE BEST IN THE NATION FOR 30-DAY MORTALITY RATES IN THE AREAS OF HEART ATTACK, HEART FAILURE, AND PNEUMONIA. THE CENTERS FOR MEDICARE & MEDICAID SERVICES REPORT ALSO SHOWED SKAGGS MORTALITY RATE OF 12.6%, WHICH IS LOWER THAN THE NATIONAL AVERAGE OF 15.9%. IN JANUARY OF 2012 SKAGGS REGIONAL MEDICAL CENTER ANNOUNCED THAT IT WAS SEEKING A STRATEGIC PARTNER TO PROVIDE STABILITY AND GROWTH OF HEALTHCARE SERVICES FOR THE BRANSON/TRI-LAKES REGION. IN SEPTEMBER OF 2012 THE BOARD OF TRUSTEES AGREED ON THE SKAGGS BOARD OF DIRECTORS RECOMMENDATION TO PARTNER WITH COXHEALTH, LOCATED IN SPRINGFIELD, MO. IN MARCH 2012 THE SKAGGS.NET WEBSITE WAS GIVEN A NEW AND IMPROVED DESIGN AND IS NOW MORE USER-FRIENDLY WITH STREAMLINED TAXONOMY. DURING FISCAL YEAR 2012 SKAGGS OPENED ITS JOINT AND SPINE CENTER. THIS HOSPITAL UNIT EXPANDS AND STREAMLINES ORTHOPEDIC SURGERIES THROUGH THE ADOPTION OF THE MARSHALL-STEELE MODEL OF PATIENT CARE THAT BLENDS THE NEEDS OF THE PATIENTS WITH A MULTI-DISCIPLINARY TEAM OF PROFESSIONALS. THE PROCESS IS PROVEN TO SHORTEN THE PATIENTS' RECOVERY TIME AND IMPROVE OUTCOMES. SKAGGS CANCER PATIENTS HAVE A NEW WAY TO CELEBRATE WHEN THEIR TREATMENT ENDS. THANKS TO A GENEROUS DONATION FROM A COMMUNITY MEMBER A CANCER BELL WAS HUNG IN THE LOBBY OF THE CANCER CENTER. PATIENTS WHO HAVE COMPLETED CANCER TREATMENT RING THE BELL TO CELEBRATE A NEW CHAPTER IN LIFE. IN FISCAL YEAR 2012 SKAGGS HIRED A WELLNESS SUPERVISOR. THIS ROLE ORGANIZES COMMUNITY SCREENINGS, WHICH PROVIDES LOW-COST HEALTH SCREENINGS TO THE COMMUNITY AT VARIOUS LOCATIONS THROUGHOUT THE YEAR; HEALTH RISK ASSESSMENTS FOR AREA BUSINESSES, INCLUDING SKAGGS EMPLOYEES; AND COORDINATES WELLNESS EVENTS IN THE COMMUNITY, INCLUDING THE ANNUAL SKAGGS 5K RUN (RUN FOR YOUR LIFE) AND MAINTAIN DON'T GAIN WEIGHT LOSS CHALLENGE FOR SKAGGS EMPLOYEES AND COMMUNITY MEMBERS. SKAGGS EMERGENCY DEPARTMENT UPDATED ITS PAYMENT POLICY IN FISCAL YEAR 2012. THE GOAL WAS TO LIMIT THE AMOUNT OF BAD DEBT THE EMERGENCY DEPARTMENT WAS INCURRING ANNUALLY. PAYMENT OF INSURANCE CO-PAYMENT OR A DEPOSIT TO BE APPLIED TOWARD THEIR BILL WAS REQUIRED AT TIME OF SERVICE. A NEW PROGRAM CALLED SKAGGS MEDICAL HOME WAS LAUNCHED. THE PROGRAM IS STAFFED WITH A NURSE THAT HELPS WITH CARE PLAN AND COORDINATION OF HEALTH RESOURCES, A BEHAVIORAL HEALTH CONSULTANT THAT COACHES INDIVIDUALS ON BEHAVIORS THAT AFFECT THEIR HEALTH, A DATA SPECIALIST, AND THEIR DIRECTOR. THEY WORK WITH INDIVIDUALS WHO ARE BEING ADMITTED INTO THE HOSPITAL OVER AND OVER OR WHO ARE FREQUENTLY BEING TAKEN TO THE EMERGENCY ROOM. THE GOAL OF MEDICAL HOME IS TO IMPROVE THE HEALTH OF THESE INDIVIDUALS THROUGH COORDINATED CARE. PLANNING IS CENTERED ON THE HEALTH GOALS OF THE INDIVIDUALS, NOT SOMEONE ELSE'S. THE ANNUAL HEALTH FAIR FOR THE BRANSON-TRI-LAKES COMMUNITY PROVIDED LOW-COST SCREENINGS, WEEKEND APPOINTMENT TIMES FOR MAMMOGRAMS AND SKIN CANCER CHECKS IN THE SKAGGS CANCER CENTER. ADDITIONAL FREE SCREENINGS OFFERED THROUGHOUT THE FAIR INCLUDED BLOOD PRESSURE, HEIGHT, WEIGHT & BODY FAT, BLOOD SUGAR FINGER STICKS, BREAST SCREENING, AND FOOT SCREENINGS.
PROGRAM SERVICE ACHIEVEMENT #2	FORM 990, PART III, LINE 4B	IN FISCAL YEAR 2012 SKAGGS CLINIC ADMINISTRATION ADDED TWO NEW FAMILY MEDICINE PHYSICIANS FOR STONE COUNTY RESIDENTS, ONE IN BRANSON WEST AND ANOTHER IN KIMBERLING CITY. AN ADDITIONAL GENERAL SURGEON WAS HIRED, WHICH NOW MEANS SKAGGS HAS TWO GENERAL SURGEONS. THE INTERNAL MEDICINE CLINIC WAS REOPENED WITH THE HIRING OF AN INTERNAL MEDICINE AND INFECTIOUS DISEASE PHYSICIAN. A NEW PULMONOLOGIST WAS ALSO ADDED TO CLINIC STAFF. COORDINATION OF CARE AND PHYSICIAN RELATIONS WAS ENHANCED THROUGH THE HIRING OF A PHYSICIAN LIAISON. GOALS FOR FISCAL YEAR 2013 ARE TO INCREASE SERVICES IN PAIN AND NEUROLOGY, ADD AN ORTHOPEDIC SURGEON, INCREASED FOCUS ON CARE CONTINUITY INITIATIVES AND WORKING WITH COXHEALTH SERVICES TO STRENGTHEN CLINICAL SERVICES IN THE BRANSON/TRI-LAKES REGION.
PROGRAM SERVICE ACHIEVEMENT #3	FORM 990, PART III, LINE 4C	OUR INTERDISCIPLINARY TEAM WORKS HARD TO PROVIDE THE FINEST IN HOME HEALTH CARE, ALLOWING THE PATIENT COMFORT AND PRIVACY IN HIS/HER OWN SURROUNDINGS. BY DELIVERING THIS TYPE OF APPROPRIATE CARE UNDER THE SUPERVISION OF A PHYSICIAN, WE CAN HELP PATIENTS AVOID HOSPITALIZATION. HOWEVER, IF HOSPITALIZATION DOES BECOME NECESSARY, WE CAN HELP PATIENTS RECUPERATE MORE QUICKLY.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION AMENDED ITS BYLAWS IN OCTOBER 2011, AND AGAIN IN MARCH 2012. SIGNIFICANT CHANGES ARE AS FOLLOWS: -VOTES OF THE DIRECTORS MAY BE SUBMITTED IN WRITING, BY TELEPHONE, OR ELECTRONICALLY IF ANY ACTION IS TAKEN BY THE BOARD OF DIRECTORS WITHOUT A MEETING. -DIRECTORS MAY PARTICIPATE IN A MEETING THROUGH TELEPHONE CONFERENCE AT ANY TIME, AS LONG AS ALL PERSONS PARTICIPATING IN THE MEETING CAN HEAR EACH OTHER. PREVIOUSLY THIS PARTICIPATION WAS ONLY ALLOWED IF THE DIRECTOR WAS NEEDED TO MEET QUORUM, OR IF A MAJORITY OF THOSE DIRECTORS PERSONALLY IN ATTENDANCE ALLOWED IT. -THE CHIEF EXECUTIVE OFFICER'S DUTIES NO LONGER INCLUDE SERVING AS A MEMBER OF THE BOARD OF DIRECTORS. -IN THE EVENT THE CEO IS UNABLE TO DESIGNATE AUTHORITY FOR HOSPITAL OPERATIONS, THE FOLLOWING ORDER OF COMMAND WILL BE INITIATED: CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, VICE PRESIDENT BUSINESS DEVELOPMENT, VICE PRESIDENT CLINIC ADMINISTRATION, CHIEF INFORMATION OFFICER, CHAIRMAN OF THE BOARD OF DIRECTORS. THE PREVIOUS ORDER OF COMMAND WAS: CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, CHIEF MARKETING OFFICER, VICE PRESIDENT MEDICAL AFFAIRS, CHAIRMAN OF THE BOARD OF DIRECTORS. -THE CHIEF OF STAFF OF THE MEDICAL STAFF SHALL NOW BE AN EX OFFICIO, NON-VOTING MEMBER OF THE SKAGGS BOARD OF DIRECTORS. PREVIOUSLY, THE CHIEF OF STAFF WAS TO APPOINT A MEDICAL STAFF MEMBER TO ATTEND EACH OF SKAGGS' BOARD OF DIRECTORS MEETINGS. THE BOARD OF DIRECTORS ALSO PASSED A RESOLUTION IN APRIL 2012, AMENDING THE BYLAWS AS FOLLOWS: -FOR ANY DIRECTOR WHOSE TERM ENDS AT THE 2012 ANNUAL MEETING OF THE BOARD OF TRUSTEES, THEIR TERM IS TO BE EXTENDED UNTIL DECEMBER 31, 2012. -THE CURRENT OFFICERS OF THE BOARD OF DIRECTORS SHALL MAINTAIN THEIR CURRENT POSITIONS UNTIL DECEMBER 31, 2012.
MEMBERS, STOCKHOLDERS, OR OTHER PERSONS	FORM 990, PART VI, SECTION A, LINES 6 & 7A	THE MEMBERSHIP OF THIS ORGANIZATION SHALL BE LIMITED TO PERSONS WHO ARE SELECTED AS A TRUSTEE, BY THE TRUSTEES. MEMBERS OF THE ACTIVE MEDICAL STAFF SHALL BE CONSIDERED NON-VOTING TRUSTEES AS LONG AS THEY REMAIN IN GOOD STANDING ON THE MEDICAL STAFF. TRUSTEES, WHO ARE NOT MEMBERS OF THE MEDICAL STAFF, SHALL BE ENTITLED TO ONE (I) VOTE IN THE ELECTION OF DIRECTORS IN SAID CORPORATION; AND IN ALL MATTERS, THE MAJORITY OF THE VOTES CAST SHALL CONTROL. ACTIVE TRUSTEES SHALL HAVE ALL THE BENEFITS, DUTIES AND OBLIGATIONS OF TRUSTEES AS FURTHER DEFINED IN THESE BYLAWS WITHOUT QUALIFICATION. IF ANY TRUSTEE SHALL FAIL TO ATTEND FOUR (4) CONSECUTIVE ANNUAL TRUSTEES' MEETINGS, THEN SAID TRUSTEE SHALL AUTOMATICALLY BE REMOVED FROM TRUSTEE BOARD MEMBERSHIP. NON-MEDICAL TRUSTEES IN GOOD STANDING SHALL BE APPOINTED AND HOLD OFFICE FOR LIFE, OR UNTIL RESIGNATION OR FAILURE TO FUNCTION, OR THEY MOVE OUT OF HOSPITAL SERVICE AREA. UPON THE DEATH, RESIGNATION OR FAILURE TO FUNCTION OF ANY NON-MEDICAL TRUSTEE, A NEW TRUSTEE SHALL BE ELECTED BY A MAJORITY VOTE OF THE REMAINING TRUSTEES VOTING THEREON. NEW TRUSTEES SHALL BE ELECTED AT THE ANNUAL MEETING OF THE TRUSTEES BY MAJORITY VOTE OF THE TRUSTEES VOTING THEREON. MEMBERS OF THE ACTIVE MEDICAL STAFF SHALL HOLD OFFICE SO LONG AS THEY SHALL CONTINUE TO BE A MEMBER OF THE ACTIVE MEDICAL STAFF IN GOOD STANDING.
REVIEW OF FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. WHILE THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS, IT IS THE MEMBERS OF THE FINANCE COMMITTEE THAT GO THROUGH AND REVIEW THE RETURN IN DETAIL. UPON RECEIVING THE APPROVAL OF THE BOARD OF DIRECTORS, THE DRAFT IS THEN FINALIZED AND SUBMITTED TO THE IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, AGENTS, MEDICAL STAFF, OFFICERS AND DIRECTORS OF THE ORGANIZATION. IT IS MONITORED AND ENFORCED THROUGH THE THIRD PARTY COMPLIANCE HOTLINE, GLOBAL COMPLIANCE. WHEN A COMPLIANCE ISSUE IS RECEIVED, IT IS INVESTIGATED FOLLOWING POLICY GUIDELINES. PREVIOUSLY, THE POLICY WAS MONITORED INTERNALLY BY CALLING DIRECTLY TO THE COMPLIANCE OFFICER WHO INVESTIGATED AND FOLLOWED UP ON ALL CALLS.
COMPENSATION REVIEW	FORM 990, PART VI, SECTION B, LINES 15A & 15B	THE COMPENSATION AND BENEFITS COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, MET ON 3/17/2012 TO REVIEW THE COMPENSATION AND BENEFITS FOR THE CEO OF THE HOSPITAL. THE CEO REVIEWS THE COMPENSATION OF THE VICE PRESIDENTS AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE WHO FORMALLY APPROVES THE COMPENSATION. THE COMMITTEE OBTAINED COMPARABILITY DATA OF TOTAL COMPENSATION AND BENEFITS FOR COMPARABLE POSITIONS FROM INTEGRATED HEALTHCARE STRATEGIES, MERCER AND SULLIVAN COTTER. AFTER CONSIDERING ALL DATA, COMPENSATION WAS DETERMINED TO BE REASONABLE AND WAS APPROVED. THIS PROCESS WAS DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE MEETING.
DOCUMENT DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
COMPENSATION	FORM 990, PART V, LINE 2A AND PART IX, LINES 7, 8, 9, AND 10	SKAGGS FOUNDATION'S EXECUTIVE DIRECTOR IS PAID BY SKAGGS COMMUNITY HOSPITAL ASSOCIATION, A RELATED ORGANIZATION. SKAGGS FOUNDATION HAS NO EMPLOYEES; HOWEVER, CERTAIN EMPLOYEES OF THE SKAGGS COMMUNITY HOSPITAL DEVOTE A PORTION OF THEIR TIME TO THE SKAGGS FOUNDATION, AND AS SUCH, A PORTION OF THEIR SALARIES ARE ALLOCATED BY THE HOSPITAL TO THE FOUNDATION, AS SEEN ON THE STATEMENT OF FUNCTIONAL EXPENSES. THE HOSPITAL FILES ALL W-2'S AND PAYS ALL PAYROLL TAXES, BUT ALLOCATES PAYROLL TAXES AND BENEFITS TO THE FOUNDATION ON THE SAME BASIS.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	$(205,727) UNREALIZED LOSS ON INVESTMENTS (129,372) CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST ---------- $(335,099)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SKAGGS EMERGENCY PHYSICIANS
PO BOX 650	BRANSON	MO	65615	352275232	BILLING	MO	0	0	NA
BRANSON HEART CENTER
PO BOX 650	BRANSON	MO	65615	300497209	BILLING	MO	0	0	NA
SKAGGS OCCUPATIONAL HEALTH
PO BOX 650	BRANSON	MO	65615	383774737	BILLING	MO	0	0	NA
BRANSON FAMILY MEDICINE CLINIC
PO BOX 650	BRANSON	MO	65615	322331834	BILLING	MO	0	0	NA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SKAGGS FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 650	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65615	ZIPCode

Field	Value	IRS element (for citing)
EIN	300107007	EIN
Primary Activities	FUNDRAISING	PrimaryActivities
Legal Domicile State	MO	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	11 A I	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	true	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	BRANSON ORTHONEURO CENTER LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	14-1952089	AddressLine1
City	BRANSON	City
State	MO	State
ZIP Code	65616	ZIPCode

Field	Value	IRS element (for citing)
EIN	141952089	EIN
Primary Activity	MED BLDG	PrimaryActivity
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	77821	ShareOfTotalIncome
Share Of EOY Assets	4499470	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.89000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BRANSON ORTHONEURO CENTER LLC
A	16547	FMV
SKAGGS FOUNDATION
B	155150	FMV
SKAGGS FOUNDATION
C	221137	FMV
BRANSON ORTHONEURO CENTER LLC
J	628584	FMV
SKAGGS FOUNDATION
P	339612	FMV