2012-12-11T20:56:47-06:00 2012-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2011-05-01 440584290 SKAGGS COMMUNITY HOSPITAL ASSOCIATION % DAVID STRONG SKAG 4173357000 251 SKAGGS ROAD BRANSON MO 65615 DAVID STRONG 2012-12-05 true Brian D Todd 4178658701 2011 2016-02-24 21:20:13Z SKAGGS REGIONAL MEDICAL CENTER MR WILLIAM MAHONEY 251 SKAGGS ROAD BRANSON MO 65615 185238539 false X WWW.SKAGGS.NET X 1950 MO 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. 13 9 1429 326 9000 -22476 815832 587515 180655469 181820734 275234 422840 1199821 1158507 182946356 183989596 140014 385787 0 0 70944852 67610329 0 0 0 112538923 115478413 183623789 183474529 -677433 515067 113507476 108670196 63197947 58180699 50309529 50489497 X THE MISSION OF SKAGGS COMMUNITY HOSPITAL ASSOCIATION IS IMPROVING YOUR LIFE THROUGH MEDICAL, HEALTH AND WELLNESS SERVICES. false false 126668164 149818 153412912 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. 33368699 26601804 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. 2025783 80819 1797018 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. 162062646 true true false true false false false false false false true true false false false false false true false false false false false false false false true true true true true true false false false false false true false false true true false false false false true true true true false false true X 161 0 true 1429 true true true false false false false false false false false false X 13 9 false false true false true true false true true false false true true true true true true true true true false X DAVID STRONG 4173357789 251 SKAGGS ROAD BRANSON MO 65615 PHIL LOYD 3.0 X X 0 0 0 DENNIS NEWKIRK 3.0 X X 0 0 0 DAVID SMITH 3.0 X X 0 0 0 BOB SIMMONS 3.0 X 0 0 0 JOHN ANGLUM 3.0 X 0 0 0 RAEANNE PRESLEY 3.0 X 0 0 0 JIM KANEASTER 3.0 X X 0 0 0 LYNN ALLISON MD 3.0 X 0 0 0 JAMES BERRY 3.0 X 0 0 0 JANICE WILLIAMS 3.0 X 0 0 0 LARRY SCHMITT 3.0 X X 0 0 0 TONY WHEELER 3.0 X 0 0 0 RICHARD BLUBAUGH 3.0 X 0 0 0 BOB MCDOWELL 3.0 X 0 0 0 WILLIAM MAHONEY 40.0 X 358414 0 29061 DAVID STRONG 40.0 X 206102 0 27781 DIANE CORNELISON DO 40.0 X 539133 0 24409 NARIN ARUNAKUL MD 40.0 X 871341 0 31852 MITTIE M DRAGOSLJVICH MD 40.0 X 933184 0 50986 JOHN W HUFFMAN DO 40.0 X 563198 0 34846 CHRIS R REEVES DO 40.0 X 631404 0 41568 PETER MARCELLUS MD X 220003 0 27950 4322779 0 268453 64 true true false 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 60 221137 41101 325277 587515 PATIENT SERVICES 624100 178100762 178100762 CAFETERIA 722210 757558 757558 GIFT SHOP 453220 185709 185709 MANAGEMENT FEES 561000 464270 464270 OTHER 900099 2312435 2303435 9000 181820734 323544 323544 0 0 1273937 148079 1125858 1125858 1125858 1179071 21089 1087701 13163 91370 7926 99296 99296 0 0 0 INCOME FROM EQUITY INVESTEE 900099 32649 32649 32649 183989596 181811734 9000 1581347 X 304968 304968 80819 80819 0 0 741585 741585 284802 284802 55547051 48835839 6711212 1231122 1099639 131483 5824150 5218170 605980 3981619 3493272 488347 0 60840 60840 181759 181759 0 0 0 27822406 20703127 7119279 557839 25566 532273 4337525 2804258 1533267 49439 49439 0 4196467 3595430 601037 125496 96126 29370 0 358724 201198 157526 2359232 2138788 220444 0 9161919 8305838 856081 2243077 1121445 1121632 BAD DEBT 33428840 33428840 LICENSES, DUES & SUBSCRIPTIONS 324378 149842 174536 MEDICAL SUPPLIES & DRUGS 22898616 22898616 PROVIDER TAX 7055509 7055509 316347 220554 95793 183474529 162062646 21411883 0 1320177 1833191 19307649 18200476 0 0 18827506 16689828 189333 130750 0 0 0 0 2224258 2387964 2062302 2112085 154485778 109851192 49238005 44634586 11130143 11226233 7723830 7729508 0 0 119865 6552 1364408 3719023 113507476 108670196 14511610 11562941 0 0 0 0 37120000 35845000 0 0 0 0 11566337 10772758 0 0 0 0 63197947 58180699 X 42898017 43207357 0 0 7411512 7282140 50309529 50489497 113507476 108670196 X 515067 -335099 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17933 17933 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. 3851167 3851167 60388630 41434248 18954382 10939325 2805729 8133596 70768642 61528913 9239729 8538014 4082302 4455712 44634586 BENEFICIAL INT IN TRUST 7282140 C INV IN BRANSON ORTHO/NEURO CTR 367543 C INV IN SKAGGS HLTH SYSTEM PHO 79825 C 7729508 183989596 183474529 515067 -205727 -129372 -335099 179968 150332689 -205727 -33599259 -33804986 184137675 -148079 -148079 183989596 150152721 148079 148079 150004642 33469887 33469887 183474529 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 true true X true X true X 225. true true true false true true 1713948 1713948 0.01140 24288346 19583410 4704936 0.03140 26002294 19583410 6418884 0.04280 154598 16992 137606 0.00090 206887 206887 0.00140 19998493 17955906 2042587 0.01360 49151 871 48280 0.00030 304968 304968 0.00200 20714097 17973769 2740328 0.01820 46716391 37557179 9159212 0.06100 3480 3480 16700 16700 4188 4188 8860 8860 33228 33228 false 33428840 5148041 44725559 46057342 -1331783 X true false BRANSON ORTHONEURO MEDICAL BUILDING 0.89000 0.00000 0.11000 SKAGGS HEALTH SYSTEM MEDICAL SUPPORT 0.50000 0.00000 0.50000 1 1 SKAGGS COMMUNITY HEALTH CENTER

251 SKAGGS ROAD BRANSON MO 65616

X X X SKAGGS COMMUNITY HEALTH CENTER 1 true true 150. true 225. true X X X X true true X X true false X X X X true X false false 9 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 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. true 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 3 0 TUITION ASSISTANCE 26 39718 HOME HEALTH CARE 6 41101 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 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. X false true X X X X X false false false false false false false true false 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 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. THE INDUSTRIAL DEVELOPMENT AUTHORITY OF TANEY CO 431288274 87539NBQ8 2005-11-17 17635000 CONSTRUCT AND EQUIP HOSPITAL FACIL false false false 2700000 0 18700518 1227527 562209 0 0 0 0 16910892 0 0 2009 false false true true false true true true false 0.00000 0.00000 0.00000 true false false false 0 true AIG MATCHED FUNDING 23.4 true true false X TAX EXEMPT BOND SCHEDULE K, PART II, LINE 3 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. DR NARIN ARUNAKUL RELOCATION AGREEMENT X 50000 10000 false false true DR REEVES RETURN TO HOSP AREA X 200000 120750 true true true 130750 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 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. 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. 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