2011-10-18T10:20:04-05:00 2010-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2010-01-01 431550298 Audrain Health Care Inc AUDR 5735825000 620 E MONROE MEXICO MO 652652963 GREG SHAW 2011-10-17 true Donna J Larson 3142315544 2010 2016-03-07 17:11:31Z AUDRAIN MEDICAL CENTER DAVID A NEUENDORF 620 E MONROE MEXICO MO 652652963 62600577 false X WWW.AUDRAINMEDICALCENTER.COM X 1918 MO TO CARE FOR THE SICK AND INJURED, AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE, IN PARTNERSHIP WITH PHYSICIANS, HEALTHCARE PROVIDERS AND RESIDENTS. 15 12 767 0 0 0 838923 1259552 63141253 56451449 -387954 228092 487608 572948 64079830 58512041 28870 26098 0 0 31459588 29187084 0 0 0 37555496 32041230 69043954 61254412 -4964124 -2742371 36479010 33366755 22342961 20867120 14136049 12499635 X OUR VISION... TO BE RECOGNIZED AS A "PATIENT FIRST, BEST PRACTICE" HEALTHCARE SYSTEM BY CONTINUOUSLY IMPROVING AND MAINTAINING OUR BALANCE OF: CLINICAL QUALITY, SERVICE/ACCESS, HUMAN RESOURCE DEVELOPMENT, AND FINANCIAL INTEGRITY. false false 16976649 26098 34270305 AUDRAIN MEDICAL CENTER PROVIDES INPATIENT CARE TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. INPATIENT CARE SERVICES WERE PROVIDED TO 2,699 CUSTOMERS IN 2010. SEE SCHEDULE O. 23390477 16343973 AUDRAIN MEDICAL CENTER PROVIDES OUTPATIENT CARE TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. AMC PROVIDED OUTPATIENT CARE TO 81,542 PATIENTS IN 2010. SEE SCHEDULE O. 9917973 5837171 AUDRAIN MEDICAL CENTER CLINICS (MEDCHOICE) PROVIDES OUTPATIENT CLINICAL SERVICES TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. AMC CLINICS PROVIDED OUTPATIENT SERVICES TO 68,439 CUSTOMERS IN 2010. SEE SCHEDULE O. 50285099 true true false true false false false false true true false false false true false true false false false false false false false false false true false true false true false false false false false false true false false false false false false true false false false false true 96 0 true 767 true false false false false false false false false false false X 15 12 false false false false false false false true true false false true true true true true true true true false X JENNIFER OGDEN 5735828095 620 E MONROE MEXICO MO 652652963 DAVID A NEUENDORF 41.62 X X 193011 0 8818 STERLING OLIVER 1.86 X X 0 0 0 CHARLES SCHAFER 0.95 X X 0 0 0 DONNA PEAK 0.5 X X 0 0 0 SUE WAECHTER 1.6 X X 0 0 0 JOHN DIAL 0.95 X 0 0 0 JOHN CARLSON MD 1.04 X 0 0 0 RANDAL ROBLEY 1.01 X 0 0 0 MICHAEL QUINLAN MD 41.15 X 357456 0 8885 GENE THOMAS MD 40.46 X 390968 0 1750 KATHY MILLER 1.12 X X 0 0 0 GENEVA ALLISON 1.1 X X 0 0 0 WILLIAM DUBBERT 0.54 X X 0 0 0 CALVIN CANINE 0.06 X X 0 0 0 SUSAN WILBURN 1.08 X 0 0 0 GREG SHAW 40.0 X 117925 0 8448 KARI WILSON 40.0 X 112826 0 2064 PETER PERLL MD 40.0 X 368433 0 0 PEGGY A BARJENBRUCH MD 40.0 X 322718 0 9202 ERIC KONDRO MD 40.0 X 292211 0 971 SHAHID WAHEED MD 40.0 X 463822 0 512 QUAN TRUNG NGUYEN 40.0 X 249366 0 3254 2868736 0 43904 27 false true false PATHOLOGY LABORATORIES PO Box 7406 COLUMBIA MO 65205 LABORATORY SERVICES 437788 MEXICO CARDIOGRAPHICS INC 720 MEDICAL PARK DRIVE MEXICO MO 65265 EEG/EKG READINGS 354000 DR BRADLEY BUCHANON 3402 RIDGEWAY DRIVE COLUMBIA MO 65203 ANESTHESIOLOGY 487112 AUDRAIN EMERGENCY GROUP LLC PO BOX 82368 LAFAYETTE LA 70598 ER PHYSICIANS 526637 ICE TECHNOLOGIES 411 SE 9TH ST PELLA IA 50219 NETWORK CONSULTANTS 300763 23 650443 600000 9109 1259552 HOSPITAL ROUTINE REVENUE 621110 33796992 33796992 ANCILLARY REVENUE 621400 15334710 15334710 AMC & MEDCHOICE PHYSICIAN REVENUE 621400 7319747 7319747 56451449 153628 153628 0 0 105755 105755 105755 105755 4153800 9200 4076207 12329 77593 -3129 74464 74464 0 0 0 CAFETERIA 722210 262934 262934 MEDICAL RECORDS 561000 8969 8969 MISCELLANEOUS 900099 195290 0 195290 467193 58512041 56451449 0 801040 26098 26098 0 0 0 1202151 1148980 53171 0 21902511 19184398 2718113 1664504 1148508 515996 2765863 2432684 333179 1652055 1255562 396493 0 109186 82981 26205 112946 85839 27107 0 0 0 7396170 5621089 1775081 84718 64386 20332 14840686 11278921 3561765 0 0 1802225 1369691 432534 47284 35936 11348 0 0 536894 411896 124998 0 3727338 2859550 867788 0 Bad Debts 2947719 2947719 Dues & Subscriptions 180213 136962 43251 Recruitment Allocation 253067 192331 60736 Other - less than 5% of total 2784 1568 1216 0 61254412 50285099 10969313 0 4615 4515 3258528 2438445 5880901 5918704 549785 601350 1390852 662343 80366670 60764385 21611807 19602285 3091555 3319071 606786 756331 84181 63711 36479010 33366755 4162513 4506968 10894459 9006552 7285989 7353600 22342961 20867120 X 13812590 11871649 141181 445708 182278 182278 14136049 12499635 36479010 33366755 X -2742371 1105957 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7604 false false false 7604 false ORGANIZATION'S DIRECT AND INDIRECT POLITICAL ACTIVITIES SCHEDULE C, PART I-A, LINE 1 THE ORGANIZATION IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, WHICH A PORTION OF THE DUES PAID ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 4394653 43181 -296457 500 105437 8945 4026495 4084478 244672 1808806 1724140 19164 4394652 5028947 443106 550679 500 1913138 24616 4084478 0.57700 0.42300 true false 782780 782780 36563685 25944278 10619407 38826823 32627110 6199713 4193382 2192997 2000385 19602285 0 Estimated Pension Liability 6901066 Asset Retirement Obligation 452534 7353600 58512041 61254412 -2742371 -24429 825859 801430 -1940941 58312413 -24429 487 -23942 58336355 175686 175686 58512041 61234194 61234194 20218 20218 61254412 USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ALL FUNDS ARE USED TO PROVIDE HEALTH CARE SERVICES, CAPITAL IMPROVEMENTS, AND FUND DEPRECIATION. THE BONDS ARE HELD BY THE TRUSTEE. RECONCILIATION OF CHANGE IN NET ASSETS ON FORM 990 TO FINANCIAL STMTS SCHEDULE D, PART XI, LINE 8 DECREASE IN INTEREST IN NET ASSETS OF FOUNDATION -155,468 OTHER ADJUSTMENTS 487 CHANGE IN MINIMUM PENSION LIABILITY 980,840 - - - - TOTAL 825,859 RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO REVENUE PER RETURN SCHEDULE D, PART XII, LINE 2D OTHER ADJUSTMENTS 487 LINE 4B INCOME INCLUDED IN AUDITED FINANCIAL STATEMENTS AS NEGATIVE EXPENSE 20,218 INCREASE IN INTEREST IN NET ASSETS OF FOUNDATION 155,468 - - - - TOTAL 175,686 RECONCILIATION OF EXPENSE PER FINANCIAL STATEMENTS TO EXPENSE PER RETURN SCHEDULE D, PART XII, LINE 4B INCOME INCLUDED IN AUDITED FINANCIAL STATEMENTS AS NEGATIVE EXPENSE 20,218 FIN 48 DISCLOSURE PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true true X true X true true true false true true 1334359 1334359 0.02290 9027648 8404634 623014 0.01070 10362007 8404634 1957373 0.03360 123165 20326 102839 0.00180 14613 2400 12213 0.00020 19550731 11864638 7686093 0.09780 48901 48901 0.00080 19737410 11887364 7850046 0.10060 30099417 20291998 9807419 0.13420 205839 205839 0.00350 61124 61124 0.00100 266963 266963 0.00450 true 1270172 0 17118625 15751573 1367052 X true true 1 1 AUDRAIN MEDICAL CENTER

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OUTPATIENT PHYSICIAN CLINIC WELLSVILLE MEDICAL CLINIC

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OUTPATIENT PHYSICIAN CLINIC SUMMIT MEDICAL PARK LAB & X-RAY

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OUTPATIENT PHYSICIAN CLINIC VANDALIA MEDICAL CLINIC

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OUTPATIENT PHYSICIAN CLINIC MEXICO UROLOGY SERVICES

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UROLOGY SERVICES PART I, LINE 7G: INCLUDED IN SCHEDULE H, PART I, LINE 7G ARE $5,701,483 OF EXPENSES ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LINE 7, COLUMN F: THE ORGANIZATION HAD BAD DEBT EXPENSE OF $2,947,719 REPORTED ON PART IX, LINE 24A. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART I, LINE 7: THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED A COST ACCOUNTING METHOD. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS. PART III, LINE 4: 4A. RELATIVE PORTION OF PATIENT ACCOUNTS RECEIVABLE FOOTNOTE: "ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT." 4B. COSTING METHODOLOGY USED TO DETERMINE AMOUNTS REPORTED AS BAD DEBTS AND BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER CHARITY CARE POLICY. BAD DEBT IS ESTIMATED USING THE PERCENTAGE OF OPERATING EXPENSE TO PATIENT REVENUE. IT IS DIFFICULT TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO COULD QUALIFY FOR CHARITY CARE DUE TO THE LIMITED NUMBER OF FINANCIAL APPLICATIONS COMPLETED BY PATIENTS. IN ADDITION, BECAUSE WE ARE A COMMUNITY HOSPITAL, WE WILL NOT ATTACH LIENS TO REAL OR PERSONAL PROPERTY AND WE DON'T GARNISH WAGES. PART III, LINE 8: LINE 6 IS REPORTED AS SHOWN ON THE ORGANIZATION'S COST REPORT, WORKSHEET D, PART V, OUTPATIENT, WORKSHEET D-4, HOSPITAL AND SUB PROVIDER. PART III, LINE 9B: PATIENTS IN NEED OF FINANCIAL ASSISTANCE COMPLETE AN APPLICATION AND THE LATEST AVAILABLE FEDERAL POVERTY GUIDELINE IS USED TO DETERMINE THOSE WHO QUALIFY. NORMAL COLLECTION EFFORTS ARE MADE ON ANY REMAINING BALANCE AFTER CHARITY CARE OR FINANCIAL ASSISTANCE WRITE OFF'S ARE APPLIED TO THE ACCOUNT. NEEDS ASSESSMENT: THE ORGANIZATION PROVIDES A NUMBER OF PROGRAMS AND SERVICES SUCH AS: PROMOTING HEALTH AND EDUCATION, HEALTH SCREENING, TRAINING OF HEALTH PROFESSIONALS, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. PROGRAMS LIKE THESE ALONG WITH INPUT FROM THE COMMUNITY ALLOWS US TO ASSESS THE HEALTH CARE AND SPECIAL NEEDS OF OUR COMMUNITY AND SURROUNDING COUNTIES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AT THE TIME OF REGISTRATION, THE PATIENT (OR THE RESPONSIBLE PARTY) WILL BE INFORMED OF PAYMENT EXPECTATIONS FOR SERVICES RECEIVED. A PATIENT CREDIT SERVICES EMPLOYEE WILL BE AVAILABLE TO DISCUSS FINANCIAL CONCERNS WITH THE RESPONSIBLE PARTY, INCLUDING EDUCATING THE RESPONSIBLE PARTY ON VARIOUS OPTIONS AVAILABLE TO THEM INCLUDING MEDICAID, MEDICARE, AS WELL AS CHARITY CARE. COMMUNITY INFORMATION: AUDRAIN HEALTH CARE, INC. IS THE SOLE HEALTH CARE PROVIDER IN THE COMMUNITY SERVING THREE COUNTIES WITH A POPULATION OF 47,000. THE ORGANIZATION ALSO PROVIDES HEALTH CARE SERVICES THROUGH A NUMBER OF CLINICS. PROMOTION OF COMMUNITY HEALTH: AUDRAIN HEALTH CARE, INC. PROVIDES CLASSES AND SUPPORT GROUP MEETINGS COVERING AN ARRAY OF TOPICS, EXAMPLES OF WHICH INCLUDE THE FOLLOWING: CRISIS INTERVENTION, DISASTER PREPAREDNESS, DIABETES SUPPORT GROUP, CANCER SUPPORT GROUP, WOMEN'S HEALTH CONFERENCE, HANDWASHING FOR KINDERGARTNERS, WELLNESS SCREENINGS, HEALTH FAIRS, CHILDBIRTH AND BREASTFEEDING CLASSES, GRIEF SUPPORT GROUPS, SAFE SITTER AND DIVER SAFETY CLASSES, AND MANY MORE. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI MO, true AUDRAIN CITY-COUNTY HEALTH UNIT 605 EAST PROMENADE MEXICO MO 65265 430783311 18730 OPERATING EXPENSES 1 0 MONITORING PROCEDURES FOR GRANTS PAID SCHEDULE I, PART I, LINE 2 THE ORGANIZATION REVIEWS REPORTS OF OPERATING EXPENSES RECEIVED FROM THE RECIPIENT THROUGHOUT THE YEAR. X X X false false false false false false false false false DAVID A NEUENDORF 191195 0 0 0 1816 0 0 0 8818 0 201829 0 0 0 PETER PERLL MD 368433 0 0 0 0 0 0 0 0 0 368433 0 0 0 PEGGY A BARJENBRUCH MD 319084 0 0 0 3634 0 0 0 9202 0 331920 0 0 0 ERIC KONDRO MD 290365 0 0 0 1846 0 0 0 971 0 293182 0 0 0 MICHAEL QUINLAN MD 357273 0 0 0 183 0 0 0 8885 0 366341 0 0 0 GENE THOMAS MD 387545 0 0 0 3423 0 0 0 1750 0 392718 0 0 0 SHAHID WAHEED MD 459952 0 0 0 3870 0 0 0 512 0 464334 0 0 0 QUAN TRUNG NGUYEN 249366 0 0 0 0 0 0 0 3254 0 252620 0 0 0 LISA NEUENDORF WIFE OF CEO, D. NEUENDORF 61093 EMPLOYMENT false 2010 COMMUNITY BENEFIT REPORT FORM 990, SUPPLEMENT TO PART III, LINE 4A, 4B, & 4C I. EXECUTIVE SUMMARY AUDRAIN MEDICAL CENTER WAS ESTABLISHED IN 1918 TO CARE FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE AS MENTIONED IN OUR MISSION STATEMENT ON THE NEXT PAGE. AUDRAIN MEDICAL CENTER IS A LICENSED 88 BED HOSPITAL AND OWNS 10 PRIMARY CARE AND SPECIALTY CLINICS. THE HOSPITAL IS A SOLE COMMUNITY PROVIDER AND ALONG WITH ITS CLINICS IS OPERATED IN MEDICALLY UNDERSERVED AREAS AS DETERMINED BY THE FEDERAL GOVERNMENT. OUR PRIMARY SERVICE AREA CONSISTS OF THREE COUNTIES WITH A POPULATION OF OVER 47,000. AS PART OF A NATIONAL REPORTING PROJECT CALLED "THE QUALITY INITIATIVE: A PUBLIC RESOURCE ON HOSPITAL PERFORMANCE," WE COLLECTED AND REPORTED DATA ON HEART ATTACKS, HEART FAILURES, PNEUMONIA, SURGICAL COMPLICATION AND INFECTION PREVENTION, AND THE PERCENTAGE OF TIME WE GAVE THE CURRENTLY RECOMMENDED CARE. AUDRAIN MEDICAL CENTER CONTINUES TO BE ABOVE THE NATIONAL AVERAGE IN ALL CATEGORIES OF CARE. IN ADDITION TO THE HIGH QUALITY CARE PATIENTS RECEIVE AND THE SERVICES THAT ARE NORMALLY OFFERED AT RURAL COMMUNITY HOSPITALS, WE ALSO PROVIDE A NUMBER OF SERVICES THAT ARE NOT TYPICALLY FOUND AT THOSE SAME HOSPITALS. THESE SERVICES INCLUDE: ANGIOPLASTY CARDIAC CATHETERIZATION LAB CARDIAC REHAB CARDIOLOGY CHEMO THERAPY ECHO EKG GASTROENTEROLOGY NUCLEAR CARDIOLOGY OPHTHALMOLOGY OTOLARYNGOLOGY PET SCANS PULMONARY MEDICINE RADIATION THERAPY RHEUMATOLOGY STRESS TESTING UROLOGY VASCULAR STUDIES NOT ONLY DO WE PROVIDE HIGH QUALITY CARE, BUT WE ACHIEVE THAT LEVEL OF SERVICE WITH SOME OF THE LOWEST CHARGES IN MISSOURI. MEDICARE PROVIDER ANALYSIS AND REVIEW (MEDPAR) WHICH CONTAINS 100% OF MEDICARE HOSPITAL DISCHARGES AND IS BASED ON ACTUAL BILLS SUBMITTED BY PROVIDERS TO MEDICARE FOR PAYMENT SHOW THAT WE CONSISTENTLY HAVE CHARGES IN THE BOTTOM QUARTILE OF ALL HOSPITALS IN THE STATE OF MISSOURI. OUR MISSION... TO CARE FOR THE SICK AND INJURED AND TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE, IN PARTNERSHIP WITH PHYSICIANS, HEALTHCARE PROVIDERS AND RESIDENTS. OUR VISION... TO BE RECOGNIZED AS A "PATIENT FIRST, BEST PRACTICE" HEALTHCARE SYSTEM BY CONTINUOUSLY IMPROVING AND MAINTAINING OUR BALANCE OF: CLINICAL QUALITY SERVICE/SATISFACTION RESOURCE DEVELOPMENT FINANCIAL INTEGRITY OUR VALUES... TO LIVE BY OUR STANDARDS OF SERVICE: STANDARD #1 - MAKE POSITIVE FIRST IMPRESSIONS OUR FIRST PRIORITY STANDARD #2 - TREAT OTHERS AS GUEST STANDARD #3 - DEVELOP "SERVICE RECOVERY" STANDARD #4 - COMMUNICATE EFFECTIVELY STANDARD #5 - SERVE OTHERS FROM THE TEAM-CENTERED APPROACH STANDARD #6 - PROJECT A POSITIVE ATTITUDE STANDARD #7 - MAKE EXCELLENCE THE GOAL OF EVERYTHING WE DO PROGRAMS FOR THE POOR AND BROADER COMMUNITY IN FISCAL YEAR 2010, WE HAD 160,000 VISITS TO THE HOSPITAL AND CLINICS. A SIGNIFICANT NUMBER OF THOSE PEOPLE WOULD BE CLASSIFIED AS POOR. THE POOR ARE DEFINED AS THOSE PERSONS WHO BECAUSE OF INADEQUATE RESOURCES CANNOT AFFORD HEALTHCARE AND ARE UNINSURED OR UNDERINSURED. IN ADDITION TO DIRECT HEALTHCARE SERVICES, WE ALSO PROVIDE A NUMBER OF OTHER PROGRAMS AND SERVICES TO THE POOR AND BROADER COMMUNITY. PROGRAMS AND SERVICES INCLUDE HEALTH PROMOTION AND EDUCATION, HEALTH SCREENING, TRAINING OF HEALTH PROFESSIONALS, CASH AND IN-KIND DONATIONS TO OTHER LOCAL CHARITABLE ORGANIZATIONS, ECONOMIC DEVELOPMENT, LOCAL SUPPORT SYSTEM ENHANCEMENTS, AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE BENEFITS PROVIDED BY AUDRAIN MEDICAL CENTER TO THE COMMUNITY ARE QUANTIFIED ON THE NEXT PAGE. 2010 COMMUNITY BENEFIT REPORT CONTINUED AUDRAIN MEDICAL CENTER COMMUNITY BENEFIT REPORT: FISCAL YEAR 2010 CHARITY CARE, BAD DEBT, AND UNINSURED DISCOUNT 1. TOTAL EXPENSE 3,070,000 2. OFFSETTING REVENUE - 3. NET COMMUNITY BENEFIT 3,070,000 4. % HOSPITAL EXPENSES 4.84% UNPAID COSTS OF PUBLIC PROGRAMS - MEDICAID 1. TOTAL EXPENSE 9,030,000 2. OFFSETTING REVENUE 8,405,000 3. NET COMMUNITY BENEFIT 625,000 4. % HOSPITAL EXPENSES 0.98% NONBILLED COMMUNITY HEALTH SERVICES - COMMUNITY EDUCATION/OUTREACH SCREENINGS, OTHER NONBILLED SERVICES 1. TOTAL EXPENSE 125,000 2. OFFSETTING REVENUE 20,000 3. NET COMMUNITY BENEFIT 105,000 4. % HOSPITAL EXPENSES 0.17% MEDICAL EDUCATION - PHYSICIAN, NURSES, TECHS, AND OTHER PROFESSIONALS 1. TOTAL EXPENSE 15,000 2. OFFSETTING REVENUE 2,500 3. NET COMMUNITY BENEFIT 12,500 4. % HOSPITAL EXPENSES 0.02% SUBSIDIZED HEALTH SERVICES - AMBULANCE, BEHAVIORAL HEALTH, EMERGENCY DEPARTMENT, OBSTETRICS, PRIMARY CARE CLINICS 1. TOTAL EXPENSE 19,550,000 2. OFFSETTING REVENUE 11,865,000 3. NET COMMUNITY BENEFIT 7,685,000 4. % HOSPITAL EXPENSES 12.10% CASH/IN-KIND DONATIONS 1. TOTAL EXPENSE 50,000 2. OFFSETTING REVENUE - 3. NET COMMUNITY BENEFIT 50,000 4. % HOSPITAL EXPENSES 0.08% COMMUNITY BUILDING ACTIVITIES 1. TOTAL EXPENSE 265,000 2. OFFSETTING REVENUE - 3. NET COMMUNITY BENEFIT 265,000 4. % HOSPITAL EXPENSES 0.42% TOTAL QUANTIFIABLE BENEFITS 1. TOTAL EXPENSE 32,105,000 2. OFFSETTING REVENUE 20,292,500 3. NET COMMUNITY BENEFIT 11,812,500 4. % HOSPITAL EXPENSES 18.60% TOTAL QUANTIFIABLE COMMUNITY BENEFITS THE TOTAL QUANTIFIABLE COMMUNITY BENEFITS TO THE POOR AND BROADER COMMUNITY FOR AUDRAIN MEDICAL CENTER FOR FISCAL YEAR 2010 WAS $11,812,500 IN UNREIMBURSED BENEFIT EXPENSES WHICH IS 18.6% OF AUDRAIN MEDICAL CENTER'S TOTAL EXPENSES. BEING A NON-PROFIT TAX EXEMPT ORGANIZATION, AUDRAIN MEDICAL CENTER INVESTED $11,812,500 OF ITS EXPENSE DOLLARS INTO PROGRAMS AND SERVICES THAT BENEFIT THE POOR AND THE BROADER COMMUNITY. IF AUDRAIN MEDICAL CENTER WAS A FOR-PROFIT TAX PAYING ENTITY, IT IS ESTIMATED THAT ITS 2010 BILL FOR FEDERAL, STATE, PROPERTY, AND SALES TAX WOULD HAVE TOTALED $2,100,000. IN FISCAL YEAR 2010, AUDRAIN MEDICAL CENTER INVESTED ITS OWN EXPENSE DOLLARS AT ALMOST 6-TO-1 OVER WHAT ITS TAX LIABILITY WOULD BE IF IT WERE A TAX-PAYING ORGANIZATION. THE ABOVE SERVICES WHICH ARE DESCRIBED IN MORE DETAIL LATER IN THIS REPORT REPRESENT THE OBLIGATIONS THAT ACCOMPANY OUR PRIVILEGE OF TAX-EXEMPT STATUS. II. COMMUNITY OUTREACH FOR THE POOR FINANCIAL ASSISTANCE COUNSELING STAFF IN PATIENT CREDIT SERVICES PROVIDE FINANCIAL COUNSELING TO PATIENTS WHO ARE UNABLE TO PAY THEIR HOSPITAL BILL. ASSISTANCE INCLUDES ASSESSING THE PATIENT'S LIABILITY, DETERMINING AVAILABLE FUNDING SOURCES SUCH AS MEDICAID OR MEDICARE, AND DETERMINING WHETHER THEY ARE ELIGIBLE FOR CHARITY CARE. WE ALSO DISCOUNT PATIENT BILLS BASED ON A SLIDING SCALE. PATIENTS WILL RECEIVE A 100% DISCOUNT IF THEY ARE AT OR BELOW THE FEDERAL POVERTY GUIDELINES. THE DISCOUNT GETS PHASED OUT AT 200% OF THE FEDERAL POVERTY GUIDELINES. UNINSURED DISCOUNT/ADMINISTRATIVE ADJUSTMENTS UNINSURED PATIENTS AUTOMATICALLY RECEIVE A 25% DISCOUNT OFF THEIR HOSPITAL BILL. IN ADDITION TO THE UNINSURED DISCOUNT, PATIENTS MAY ALSO RECEIVE AN ADMINISTRATIVE ADJUSTMENT DEPENDING UPON THEIR FINANCIAL SITUATION. PATIENTS RECEIVING AN ADMINISTRATIVE ADJUSTMENT WILL HAVE THEIR BILL DISCOUNTED FURTHER UP TO 100% IF THE AMOUNT OWED EQUALS OR EXCEEDS 50% OF THE ANNUAL INCOME OF THE PATIENT FOR THE LAST TWELVE MONTHS. III. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY IN FISCAL YEAR 2010, AUDRAIN MEDICAL CENTER SERVED THE BROADER COMMUNITY THROUGH COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONAL'S EDUCATION, SUBSIDIZED HEALTH SERVICES, CASH/IN-KIND DONATIONS, AND COMMUNITY BUILDING ACTIVITIES. THESE EFFORTS ARE DESCRIBED BELOW. A. COMMUNITY HEALTH SERVICES INCLUDED IN THIS CATEGORY ARE ACTIVITIES THAT HAVE BEEN CARRIED OUT TO IMPROVE THE HEALTH OF THE COMMUNITY. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS, ALTHOUGH THERE MAY BE A NOMINAL FEE CHARGED TO PARTICIPANTS. COMMUNITY HEALTH EDUCATION AUDRAIN MEDICAL CENTER HOSTED NUMEROUS CLASSES THROUGHOUT THE YEAR TO IMPROVE THE HEALTH OF AREA RESIDENTS. SOME OF THOSE CLASSES INCLUDED THE AFTER CARE GROUP FOR PATIENTS WHO HAVE LEFT THE BEHAVIORAL HEALTH UNIT; CANCER CONFERENCES INCLUDING CANCER SUPPORT GROUP, BREAST CANCER AWARENESS, AND GIVE CANCER THE BOOT; CARDIO VASCULAR SUPPORT; CHILDBIRTH; DIABETES AND HEALTHY FOOD EDUCATION; WELLNESS SCREENING; AND THE WOMEN'S HEALTH CONFERENCE. COMMUNITY BASED CLINICAL SERVICES AUDRAIN MEDICAL CENTER ALSO SPONSORED NUMEROUS HEALTH FAIRS AND WELLNESS SCREENINGS THROUGHOUT THE SURROUNDING AREA. THESE EVENTS WERE HELD IN AUXVASSE, MEXICO, MONTGOMERY CITY, AND LOCAL BUSINESSES. HEALTH CARE SUPPORT SERVICES FINALLY, AUDRAIN MEDICAL CENTER HAS 105 VOLUNTEERS WHO WORKED ALMOST 20,000 HOURS IN FISCAL YEAR 2010. THEY HELPED THE ELDERLY AT HOME BY OFFERING ASSISTANCE WITH SHOPPING, PAYING BILLS, TRANSPORTATION, CLEANING THEIR HOUSE, AND HELPING THEM MOVE TO NURSING HOMES. THE VOLUNTEERS ALSO HELPED AT THE VARIOUS WELLNESS SCREENINGS AND IMMUNIZATION CLINICS, ASSISTED PATIENTS AND FAMILIES DURING THEIR VISIT TO THE HOSPITAL AND WORKED IN THE GIFT SHOP. ALSO, INDIVIDUALS WHO ARE REQUIRED TO COMPLETE COMMUNITY SERVICE HAVE THAT ABILITY THROUGH THE VOLUNTEER PROGRAM AT AUDRAIN MEDICAL CENTER. 2010 COMMUNITY BENEFIT REPORT CONTINUED B. MEDICAL EDUCATION AUDRAIN MEDICAL CENTER IS COMMITTED TO EDUCATING PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN ORDER TO IMPROVE THEIR CLINICAL SKILLS. AN AREA OF EMPHASIS AT THE HOSPITAL IS THE DETECTION AND TREATMENT OF CANCER. TO EDUCATE PHYSICIANS IN NEW CONCEPTS OF TREATING CANCER AND MAKING APPROPRIATE REFERRALS WE HOST A MONTHLY SURGICAL ONCOLOGY CONFERENCE COMPRISED OF MEDICAL STAFF, CLINICAL AND SUPPORT DEPARTMENT EMPLOYEES. CASE PRESENTATIONS ARE GIVEN BY ATTENDING PHYSICIANS AND INVOLVE A MULTI-DISCIPLINARY DISCUSSION OF THE TREATMENT PLAN INCLUDING THE MEDICAL ONCOLOGIST, RADIATION ONCOLOGIST, AND ANCILLARY DEPARTMENTS. WE ALSO SPONSOR THE ANNUAL MID-MISSOURI REGIONAL CANCER CONFERENCE. THIS CONFERENCE IS DESIGNED FOR PHYSICIANS, NURSES, CLERGY, HOME HEALTH PROFESSIONALS, DIETITIANS AND OTHER HEALTHCARE PROFESSIONALS WHO SUPPORT AND CARE FOR PEOPLE WITH CANCER. TOPICS AT THE CONFERENCE INCLUDED IDENTIFYING CURRENT DRUGS USED IN CHRONIC PAIN MANAGEMENT AND VARIOUS METHODS OF DELIVERY, SUMMARIZING THE ROLE AND PURPOSE OF AN ONCOLOGY PATIENT ADVOCATE, AND IDENTIFYING ADJUVANT AND FIRST-LINE TREATMENT OPTIONS FOR COLON CANCER. IN 2005 THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC) RECOGNIZED OUR COMMITMENT TO QUALITY IN OUR CANCER PROGRAM BY AWARDING US THE OUTSTANDING ACHIEVEMENT AWARD. THE COC SETS STANDARDS FOR QUALITY AND MULTIDISCIPLINARY CANCER PATIENT CARE AND COLLECTS QUALITY DATA FROM FACILITIES TO DEVELOP EFFECTIVE EDUCATIONAL INTERVENTIONS TO IMPROVE CANCER CARE OUTCOMES AT THE NATIONAL, STATE AND LOCAL LEVEL. APPROVAL BY THE COC IS GIVEN ONLY TO THOSE FACILITIES THAT PROVIDE THE HIGHEST LEVEL OF QUALITY CANCER CARE AND UNDERGO A RIGOROUS EVALUATION PROCESS AND REVIEW OF THEIR PERFORMANCE. IN 2006 AND 2009 WE WERE GIVEN THE THREE YEAR APPROVAL AWARD WITH COMMENDATION AS THERE WERE NO DEFICIENCIES FOUND DURING THE SURVEY PROCESS. THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC) HAS AWARDED AUDRAIN MEDICAL CENTER AN OUTSTANDING ACHIEVEMENT AWARD, RECOGNIZING AMC'S COMMITMENT TO QUALITY IN ITS CANCER PROGRAM. AUDRAIN MEDICAL CENTER IS ONE OF ONLY 90 HOSPITALS NATIONWIDE AND THE ONLY ONE IN MISSOURI TO RECEIVE OUTSTANDING ACHIEVEMENT STATUS IN 2010. THIS IS THE THIRD CONSECUTIVE TIME AUDRAIN MEDICAL CENTER HAS ACHIEVED THIS LEVEL OF RECOGNITION FROM THE COC. AUDRAIN MEDICAL CENTER HAS ALSO BEEN RECOGNIZED IN CARECHEX 2011 FOR OUTSTANDING PERFORMANCE IN PATIENT SAFETY FOR OVERALL HOSPITAL CARE. AMC RANKED AMONG THE TOP 2% OF ALL HOSPITALS IN THE NATION IN THIS CATEGORY AT 98.7%. HEALTHGRADES USED THE AHRQ'S 13 PATIENT SAFETY INDICATORS - INCIDENTS SUCH AS FOREIGN OBJECTS LEFT IN A BODY FOLLOWING A PROCEDURE, EXCESSIVE BRUISING OR BLEEDING AS A RESULT OF SURGERY, BLOODSTREAM INFECTIONS FROM CATHETERS, AND BED SORES - TO IDENTIFY THOSE HOSPITALS PERFORMING IN THE TOP FIVE PERCENT IN THE NATION, NAMING THEM PATIENT SAFETY EXCELLENCE AWARD RECIPIENTS. AUDRAIN MEDICAL CENTER WAS NAMED A 2011 PATIENT SAFETY EXCELLENCE AWARD RECIPIENT. PRIMARY CARE CONFERENCES ARE OFFERED MONTHLY TO PHYSICIANS AS AN EDUCATIONAL TOOL. SOME OF THE TOPICS COVERED IN 2010 INCLUDED CHRONIC NEUTROPENIA IN CHILDREN, VENOUS THROMBOEMBOLISM, RHINOSINUSITIS, URINARY INCONTINENCE, ASTHMA, C-DIFF, IMMUNIZATIONS, AND EVALUATING KNEE PAIN. WE ALSO PARTNERED WITH THE MOBERLY AREA COMMUNITY COLLEGE FOR THE NURSE CAMP PROGRAM. THIS IS A PROGRAM WHICH OFFERS CPR CLASSES TO HIGH SCHOOL STUDENTS LOOKING TO ENTER NURSING AS AN OCCUPATION. ACLS AND BLS CLASSES ARE PROVIDED TO HOSPITAL EMPLOYEES AND PRACTICAL NURSES FROM THE ADVANCED TECHNOLOGY CENTER. WE ALSO PROVIDE BLS TRAINING TO THE PUBLIC IN GENERAL. AUDRAIN MEDICAL CENTER ALSO SERVED AS A SITE FOR A SOCIAL WORKER INTERNSHIP IN 2010 FROM THE UNIVERSITY OF MISSOURI. FURTHERMORE, WE SERVE AS A CLINICAL ROTATION SITE FOR PHARMACY, DIETARY AND MLT STUDENTS. RN STUDENTS ALSO ROTATE THROUGH OUR OBSTETRICS AND PSYCHIATRIC UNITS. C. SUBSIDIZED SERVICES WE OFFER SEVERAL CLINICAL PATIENT CARE SERVICES TO THE COMMUNITY THAT GENERATE A BILL FOR REIMBURSEMENT BUT WHICH DOES NOT COVER THE COSTS FOR THOSE SERVICES. THE SERVICES ARE PROVIDED DESPITE A NEGATIVE MARGIN BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING TO PROVIDE THEM. SOME OF THE SUBSIDIZED SERVICES ARE DISCUSSED BELOW. BEHAVIORAL HEALTH. IN 2010 WE TREATED 81 INPATIENT ADULTS THAT WERE IN THE UNIT FOR 353 DAYS. WITHOUT THIS SERVICE BEING OFFERED BY THE HOSPITAL, PATIENTS WOULD HAVE TO TRAVEL MORE THAN 30 MILES TO THE NEXT AVAILABLE BEHAVIORAL HEALTH UNIT. OBSTETRICS. IN 2010 WE HAD 178 DELIVERIES THAT WERE IN THE HOSPITAL FOR 372 DAYS. SIMILAR TO BEHAVIORAL HEALTH, PATIENTS WOULD HAVE TO TRAVEL MORE THAN 40 MILES TO THE NEXT AVAILABLE HOSPITAL. PRIMARY AND SPECIALTY CARE CLINICS. IN ORDER TO IMPROVE ACCESS TO PRIMARY CARE IN THE COUNTIES OF AUDRAIN, MONTGOMERY, AND RALLS WHICH ARE ALL FEDERAL MEDICALLY UNDERSERVED AREAS, AUDRAIN MEDICAL CENTER OWNS AND OPERATES EIGHT DIFFERENT CLINICS IN THE TOWNS OF MEXICO, MONTGOMERY CITY, PERRY, VANDALIA AND WELLSVILLE. MEXICO IS THE LARGEST TOWN AT 11,320. THE OTHER TOWNS RANGE IN SIZE FROM 650 TO 3,770. D. CASH/IN-KIND DONATIONS CASH DONATIONS DURING 2010 AUDRAIN MEDICAL CENTER DONATED FUNDS TO NUMEROUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. ORGANIZATIONS THAT RECEIVED FUNDS DURING THE YEAR INCLUDED ACS DAFFODIL DAY, AMERICAN CANCER SOCIETY/RELAY FOR LIFE, AMERICAN RED CROSS, AUDRAIN CITY-COUNTY HEALTH UNIT, MEXICO CHAMBER OF COMMERCE, MEXICO HIGH SCHOOL AFTER PROM AND PROJECT GRADUATION, MEXICO JAYCEES, MEXICO YMCA AND MISSOURI PHYSICIANS HEALTH PROGRAM. IN-KIND DONATIONS WE ALSO PROVIDED MEETING ROOM SPACE FOR VARIOUS COMMUNITY ORGANIZATIONS SUCH AS THE AUDRAIN COUNTY HUMAN SERVICES COUNCIL, COMMUNITY BLOOD DRIVE, THE COUNTY COMMISSIONER, RELAY FOR LIFE, THE UNITED WAY, AND AUDRAIN CITY-COUNTY HEALTH UNIT. FINALLY, EMPLOYEES HAVE JOINED AND PARTICIPATE IN VARIOUS SERVICE CLUBS AND ORGANIZATIONS SUCH AS AARP, ALTRUSA, AUDRAIN CITY-COUNTY HEALTH UNIT, AUDRAIN COUNTY HUMAN SERVICES COUNCIL, HATTON WOMEN'S CLUB, MEXICO CHAMBER OF COMMERCE, MEXICO COMMUNITY BETTERMENT, MEXICO HUMAN RESOURCE ASSOCIATION, MEXICO KIWANIS, MEXICO ROTARY CLUB, MEXICO WOMEN'S CLUB, MEXICO YMCA, MINISTERIAL ALLIANCE, PARIS CHAMBER OF COMMERCE, PARIS ROTARY CLUB, PRESSER HALL PERFORMING ARTS, SOCIETY FOR HEALTHCARE STRATEGY, VANDALIA CHAMBER OF COMMERCE, AND WELLSVILLE PRAIRIE HOME SOCIETY. E. COMMUNITY BUILDING ACTIVITIES WE ARE ALSO INVOLVED IN COMMUNITY HEALTH PROGRAMS AND COMMUNITY PARTNERSHIPS. IN 2010 WE PROVIDED CLASSES COVERING TOPICS SUCH AS CRISIS INTERVENTION TO THE MINISTERIAL ALLIANCE, DISASTER PREPAREDNESS, END OF LIFE DECISIONS, GUARDIANSHIP, AND PALLIATIVE CARE PLANNING. WE ALSO PROVIDE A BUILDING TO THE COUNTY PUBLIC HEALTH DEPARTMENT. WE DO NOT CHARGE PUBLIC HEALTH FOR UTILITIES AND WE ALSO LET THE DEPARTMENT OCCUPY THE BUILDING FOR LESS THAN MARKET RENTAL RATES. WE ALSO ASSISTED A WOMEN'S SHELTER TO OBTAIN GRANTS AND PROVIDED TAXI SERVICE TO PATIENTS WHO HAD NO MEANS OF TRANSPORTATION TO RETURN HOME. IN 2010 WE PAID RECRUITMENT COSTS FOR PHYSICIAN AND OTHER HEALTH PROFESSIONALS TO IMPROVE HEALTH SERVICES TO THE COMMUNITY. FORM 990 REVIEW PROCESS FORM 990, PART V1, SECTION A, LINE 11 THE VICE PRESIDENT/CFO OF AUDRAIN HEALTH CENTER REVIEWS THE FORM 990 BEFORE APPROPRIATE SIGNATURES AND FILING ACTION. A DRAFT OF THE FORM 990 IS ALSO PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND IT IS USUALLY DONE AT THE ANNUAL BOARD MEETINGS. THE CORPORATE COMPLIANCE COMMITTEE MEETS QUARTERLY IN ORDER TO MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. A HOTLINE AND COMMENT BOX IS ALSO AVAILABLE FOR HOSPITAL EMPLOYEES AND OFFICERS TO ANONYMOUSLY DISCLOSE ANY CONFLICTS TO THE COMMITTEE. THIS COVERS ANY PERSON SERVING AMC AS A BOARD MEMBER, OFFICER, OR EMPLOYEE. THE CORPORATE COMPLIANCE COMMITTEE REVIEWS ALL CONFLICTS. THE CONFLICT IS HANDLED THROUGH FULL DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH NONINVOLVEMENT IN ANY DISCUSSION AND VOTE WHEREIN THE INTEREST IS INVOLVED. PROCESS FOR DETERMINING COMPENSATION FORM 990, SECTION B, LINE 15 A. EXECUTIVE SALARY/COMPENSATION INFORMATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING MISSOURI HOSPITAL ASSOCIATION COMPENSATION REPORTS THAT PROVIDE BENCHMARKS FOR THE HOSPITAL CEO'S IN MISSOURI BY BED SIZE, OPERATING BUDGET AND NUMBER OF FTE'S. B. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR OTHER OFFICERS OF THE ORGANIZATION, ARE PRESENTED TO THE HUMAN RESOURCES DIRECTOR WHO COMPARES COMPENSATION WITH THE SAME MISSOURI HOSPITAL ASSOCIATION COMPENSATION REPORTS. ADDITIONAL DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 INCREASE IN INTEREST IN FOUNDATION 149,545 CHANGE IN MINIMUM PENSION LIABILITY 980,840 UNREALIZED LOSS ON INVESTMENTS -24,429 - - - - TOTAL 1,105,956 AUDRAIN MEDICAL CENTER FOUNDATION 620 E MONROE MEXICO MO 65265 431265060 SUPPORT HOSP MO 501(C)(3) 11-I NA AUDRAIN MEDICAL CENTER AUXILIARY 620 E MONROE MEXICO MO 65265 431258870 SUPPORT HOSP MO 501(C)(3) 9 NA false false true false false false false false false false false true true true false false false false AUDRAIN MEDICAL CENTER FOUNDATION C 650443