2023-03-29T12:43:46-05:00 2022-06-30 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2021-07-01 430715842 GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION % KEN BARANSKI CFO GENE 6602581288 130 LOCKLING STREET BROOKFIELD MO 64628 KARLA CLUBINE CEO 6602582222 2023-05-15 true Karla Clubine 999009999 Michael J Engle P00482834 8162216300 2 2021 2023-04-26 12:10:37Z KARLA CLUBINE 130 LOCKLING STREET BROOKFIELD MO 64628 19416776 false X WWW.PHSMO.ORG X 1955 MO SERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE. 10 9 175 17 0 0 3908936 124987 18544270 19137700 65076 110609 57710 39143 22575992 19412439 6655 6720 0 0 8551761 9135980 0 0 0 11580588 11902691 20139004 21045391 2436988 -1632952 21656541 18730718 10738023 9445152 10918518 9285566 SERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE. false false 1574388 688 1959701 INPATIENT ACUTE CARE SERVICES WITH 215 INPATIENT ADMISSIONS. 12738093 5568 15855584 OUTPATIENT SERVICES WITH APPROXIMATELY 20,595 REGISTRATIONS. THIS INCLUDES 4,656 EMERGENCY ROOM VISITS. 1062405 464 1322415 COMMUNITY MEDICAL ASSOCIATES, ONE OF OUR 2 PROVIDER BASED RURAL HEALTH CLINICS, WITH BOTH SCHEDULED AND WALK-IN SERVICES IS OPEN 10 HOURS A DAY MONDAY THRU FRIDAY, AND 4 HOURS ON SATURDAY (8:00-noon). IT HAD 10,416 VISITS THIS PAST FISCAL YEAR. IT IS A LOWER COST ALTERNATIVE THAN USING THE EMERGENCY ROOM. MEADVILLE MEDICAL CENTER IS OPEN 3 DAYS A WEEK AND SAW 1,530 PATIENTS. 15374886 true false false true false false false false false false true false false false false false true false false false false false false false false false true true false false true false false false false false false true false false false false false false false false false false true 60 0 true 175 true false false false false false false false false false false false false X 10 9 false true false false true true true true true false false true true true true true true true false false MO X KEN BARANSKI CFO 6602582222 130 EAST LOCKLING STREET PO BOX 40 BROOKFILED MO 64628 X PHIL HAMILTON CEO - ENDED 11/2021 40.0 0.0 X 185211 0 22350 BRIAN CASEBOLT DIRECTOR OF PHARMACY 40.0 0.0 X 134530 0 39613 IRENE PARSONSON NURSE PRACTITIONER 40.0 0.0 X 132488 0 35426 KARLA CLUBINE CEO - BEGAN 11/2021 40.0 0.0 X 126526 0 39452 GARY FITE DIRECTOR OF PHYSICAL THERAPY 40.0 0.0 X 134230 0 26228 AMY CREASON NURSE PRACTITIONER 40.0 0.0 X 110917 0 36824 GARY TANDY CFO - ENDED 07/2021 40.0 0.0 X 84431 0 8691 KENNETH E BARANSKI CFO - BEGAN 07/2021 40.0 0.0 X 50612 0 12140 BK KNOWLES DIRECTOR/PHYSICIAN 40.0 0.0 X 25654 0 0 JIM ELLIOTT DIRECTOR/VICE PRESIDENT 1.0 0.0 X X 0 0 0 MARK CLEVELAND DIRECTOR 1.0 0.0 X 0 0 0 GARY ROUTLEDGE DIRECTOR 1.0 0.0 X 0 0 0 JOE SMITH DIRECTOR 1.0 0.0 X 0 0 0 BRIAN WINN DIRECTOR 1.0 0.0 X 0 0 0 DAVID SHAW DIRECTOR/SECRETARY 1.0 0.0 X X 0 0 0 WILLIAM THUDIUM DIRECTOR/PRESIDENT 1.0 0.0 X X 0 0 0 GAIL TURNER DIRECTOR/TREASURER 1.0 0.0 X X 0 0 0 PAUL WILLIAMS DO DIRECTOR 1.0 0.0 X 0 0 0 984599 0 220724 6 false true true BOONE HOSPITAL 1600 EAST BROADWAY COLUMBIA MO 65201 MANAGEMENT 241683 DOCS WHO CARE PA 800 WEST FRONTIER LANE OLATHE KS 66061 PHYSICIAN STAFFING 1605827 HAVE A NICE DAY ANESTHESIA ASSOCIAT 2106 WOODCREST DRIVE CHILLICOTHE MO 64601 ANESTHESIA SERVICES 211205 BROOKFIELD FAMILY HEALTH CLINIC PC 624 WEST LOCKLING AVENUE BROOKFIELD MO 64628 PHYSICIAN STAFFING 193484 TITAN NURSE STAFFING LLC 2110 SOUTH 169 PLAZA SUITE 100 OMAHA NE 68130 STAFF NURSES 542577 6 105373 19614 0 124987 NET PATIENT SERVICE REVENUE 621400 18963572 18963572 340B REVENUE 900099 174128 174128 19137700 110946 110946 0 0 9087 9087 0 9087 9087 4000 469 3868 -469 132 -337 -337 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 19846 19846 VENDING MACHINES 900099 7061 7061 MISCELLANOUS INCOME 900099 3149 3149 30056 19412439 19137700 0 149752 6720 6720 0 0 0 415948 153688 262260 45059 32052 13007 6761269 4657870 2103399 71755 58044 13711 1312236 1028362 283874 529713 393876 135837 222004 222004 1703 1703 133386 133386 0 0 0 4075046 3593470 481576 0 17632 5328 12304 473125 173952 299173 528591 264295 264296 0 327055 14514 312541 24815 2693 22122 0 13483 3452 10031 177090 72607 104483 0 1126758 461971 664787 261473 169497 91976 BAD DEBT 1533567 1533567 MEDICAL SUPPLIES 1744115 1744115 MEDICAL PAYMENTS 709664 709664 DUES AND SUBSCRIPTIONS 45618 14440 31178 487566 280709 206857 21045391 15374886 5670505 0 0 0 8361652 6375365 0 0 4639142 4482947 0 0 0 0 10767 26101 181374 166531 249372 355490 24417184 17248711 8064234 7168473 0 0 0 0 0 0 0 0 150000 155811 21656541 18730718 3322464 3916645 0 0 1743687 1515906 0 0 0 0 0 0 5671872 4012601 0 0 0 0 10738023 9445152 X 10913305 9277720 5213 7846 10918518 9285566 21656541 18730718 -1632952 X false true X false true true X false false false false false true 6328 false false false 6328 false SCHEDULE C, PART II-B, LINE 1F FOR 2021, $6,328 OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION WERE USED FOR LOBBYING/ADVOCACY EXPENDITURES. 107129 107129 14278214 10277167 4001047 9911575 6971544 2940031 120266 120266 7168473 17878872 17878872 1533567 1533567 19412439 19511824 19511824 1533567 1533567 21045391 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. SCHEDULE D, PART XI, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 1,533,567 SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 1,533,567 true true X true X true X true true false true true 73947 73947 0.00380 3065958 4110509 3139905 4110509 73947 0.00380 16200 12638 3562 0.00020 4999 4999 0.00030 21199 12638 8561 0.00050 3161104 4123147 82508 0.00430 true 1533567 281944 7660814 7631167 29647 X true true 1 1 GENERAL JOHN J PERSHING MEM HOSPITAL 130 E LOCKLING AVE PO BOX 408 BROOKFIELD MO 64628 WWW.PHSMO.ORG 198-56 X X X X COMMMUNITY MED ASSOC APPLEGATE MED GROUP MEADVILLE MED CLINIC GENERAL JOHN J PERSHING MEM HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 100 300. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 MANY LOCAL STAFF MEMBERS, BOARD MEMBERS, HOSPITAL AUXILIARY WERE INVOLVED IN THE CHNA PROJECT, ALONG WITH COLLABORATION WITH THE LINN COUNTY HEALTH DEPARTMENT. THE CHNA TOWN HALL MEETING HAD 38 STAKEHOLDERS AND COMMUNITY LEADERS PRESENT. SCHEDULE H, PART V, SECTION B, LINE 7A THE COMPLETE CHNA CAN BE FOUND AT: https://www.phsmo.org/wp-content/uploads/2022/05/2022CHNA.pdf SCHEDULE H, PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: https://www.phsmo.org/wp-content/uploads/2022/05/2022CHNAIMPPLAN.pdf SCHEDULE H, PART V, SECTION B, LINE 11 MANY FACTORS DURING THE LAST THREE YEARS SINCE THE PREVIOUS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED HAVE GONE UNCHANGED AS INDICATED BY THE MOST CURRENT 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. FINDINGS INDICATED SEVERAL VULNERABILITIES IN HEALTHCARE SERVICES PROVIDED TO THE COMMUNITY AND UNFAVORABLE TRENDS IN HEALTHCARE FACTORS. UNEMPLOYMENT IS A LARGE FACTOR CONTRIBUTING TO INDIVIDUALS LACKING THE FINANCIAL CAPABILITY TO ACCESS HEALTHCARE. INCREASING RATES OF UNEMPLOYMENT WILL RAISE THE NEED FOR COMMUNITY HEALTH CENTERS AND ADDITIONAL SAFETY-NET CLINICS IN THE COUNTY. IN TERMS OF ECONOMIC STATUS, LINN COUNTY IS WORSE OFF IN RELATION TO THE REST OF MISSOURI AND THE UNITED STATES AND HAS A HIGH PERCENTAGE OF FAMILIES BELOW THE POVERTY LEVEL. ANALYZING THE VARIOUS CLASSES OF WORKERS GIVES AN IDEA AS TO THE AVAILABILITY OF HEALTH INSURANCE TO THE LABOR FORCE. THE 2022 CHNA INDICATED THAT A LARGE PERCENTAGE OF LINN COUNTY WORKERS ARE EMPLOYED IN THE EDUCATION, MANUFACTURING, AND RETAIL INDUSTRIES. THE 2022 CHNA INDICATED LINN COUNTY BOASTS A LARGER PERCENTAGE OF SELF-EMPLOYED WORKERS THAN BOTH MISSOURI AND THE UNITED STATES. HAVING A HIGH NUMBER OF SELF-EMPLOYED WORKERS COULD MEAN THAT PORTION OF THE POPULATION HAS TO PROVIDE THEIR OWN HEALTH INSURANCE AND THE INCREASINGLY HIGH PREMIUMS AND DEDUCTIBLES COULD BE A DETERRENT. IT WOULD BE EASY FOR ONE TO FOCUS ON THE OBVIOUS HEALTHCARE FACTORS AFFECTING THE CITIZENS OF LINN COUNTY SUCH AS OBESITY, HEART DISEASE, DIABETES, LACK OF EXERCISE, AND LACK OF ACCESS TO RECREATIONAL LOCATIONS AS THE NEEDS TO ADDRESS IN THE COUNTY; HOWEVER, IT WOULD BE A DISSERVICE TO THE CITIZENS AND THE COMMUNITY IF PERSHING HEALTH SYSTEM DID NOT CONSIDER THE SIGNIFICANT IMPACT THAT THE LEVEL OF POVERTY PLAYS IN ALL OF THESE ISSUES. THIS WOULD LEAD ONE TO QUESTION IF THE TRUE ISSUE IS RELATED TO THE SIGNIFICANT NUMBER OF CITIZENS WHO LIVE IN POVERTY IN LINN COUNTY AS THE PRIMARY CAUSE FOR MANY, IF NOT ALL, OF THE HEALTH NEEDS IDENTIFIED. RESIDENTS LIVING IN POVERTY REGARD HEALTH NEEDS AS SIGNIFICANTLY LESS IMPORTANT, ESPECIALLY WHEN TRYING TO MEET BASIC NEEDS TO SURVIVE. HOW CAN A PERSON LIVING IN POVERTY BE EXPECTED TO ADDRESS OBESITY, HEART DISEASE, AND DIABETES IF THEY ARE UNABLE TO ADDRESS THE BASIC NEEDS OF THEIR HOUSEHOLD SUCH AS RUNNING WATER, FOOD, RENT, AND UTILITIES WITHOUT STRUGGLES? UNLESS OR UNTIL POVERTY IS ADDRESSED CHRONIC ILLNESS WILL ALWAYS BE SIGNIFICANT FOR COUNTY RESIDENTS. POVERTY ISSUES RELATED TO HEALTHCARE WILL IMPACT THE QUALITY OF CARE THAT CITIZEN'S ACCESS, WHICH IN RETURN IMPACT THE OVERALL HEALTH OF THE CITIZENS. LINN COUNTY RANKS 33RD IN HEALTH OUTCOMES ACCORDING TO COUNTY HEALTH RANKINGS AND 77TH IN HEALTH FACTORS FOR THE STATE OF MISSOURI. NEGATIVE TRENDS IN ADULT OBESITY, HEART DISEASE, AND PHYSICAL INACTIVITY ARE ALL HIGHER THAN MISSOURI AND NATIONAL AVERAGES AND CONTRIBUTE TO AN INCREASING PREMATURE DEATH RATE FOR THE COUNTY. HOWEVER, UNTIL POVERTY IS ADDRESSED, ANY INTERVENTION APPLIED TO THESE CHRONIC ISSUES WILL HAVE VERY LITTLE IMPACT. ANOTHER AREA OF CONCERN IDENTIFIED WAS LACK OF RECREATIONAL AREAS FOR EXERCISE. MANY CITIZENS WHO LIVE IN POVERTY WOULD BE QUICK TO SAY THAT WHETHER OR NOT THEY HAVE ACCESS TO RECREATIONAL AREAS IS NOT A PRIORITY FOR THEM. AFTER SPEAKING WITH COMMUNITY HEALTHCARE SERVICE PROVIDERS, SEVERAL WEAKNESSES IN THE PROVISION OF SERVICES TO THE COMMUNITY WERE REVEALED. TO HELP ADDRESS THE CHILDHOOD POVERTY PERSHING HOPSITAL OFFERED FREE MEALS TO CHILDREN THROUGH THE SUMMER FOOD SERVICE PROGRAM FROM JUNE TO AUGUST. PERSHING SPONSORED A CANNED FOOD DRIVE AT CHRISTMAS FOR THE LOCAL FOOD BANK, AS WELL AS A CLOTHING DRIVE FOR LOCAL FOSTER CHILDREN. PERSHING ALSO CONTINUES TO OFFER REDUCED COST MEDICAL SCREENINGS DURING OUR ANNUAL HEALTH FAIR WHERE COMMUNITY MEMBERS CAN ACCESS BASIC LABS AT REDUCED COST. PERSHING CONTINUES TO OFFER FREE HEALTH AND WELLNESS CHECKS FOR ALL SCHOOL AGED CHILDREN DURING THE MONTHS OF MAY TO AUGUST. SCHEDULE H, PART V, SECTION B, LINE 16A THE FAP CAN BE FOUND AT: https://www.phsmo.org/wp-content/uploads/2021/10/Pershing-Health-System-FA P-FY-2022.pdf SCHEDULE H, PART V, SECTION B, LINE 16B THE FAP APPLICATION CAN BE FOUND AT: https://www.phsmo.org/wp-content/uploads/2023/01/App-for-financial-assista nce2023.pdf SCHEDULE H, PART V, SECTION B, LINE 16C THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://phsmo.org/financial-assistance 3 COMMUNITY MEDICAL ASSOCIATES 130 E LOCKLING AVE BROOKFIELD MO 64628 PROVIDER BASED RURAL HEALTH CLINIC APPLEGATE MEDICAL GROUP 125 E LOCKLING AVE BROOKFIELD MO 64628 PROVIDER BASED RURAL HEALTH CLINIC MEADVILLE MEDICAL CLINIC 101 E HAYWARD MEADVILLE MO 64659 PROVIDER BASED RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 3C MEDICAL INDIGENCY, UNDERINSURANCE STATUS AND RESIDENCY ARE FACTORS USED IN ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT CONTAINED IN THE TABLE OF SCHEDULE H, PART I, LINE 7 IS A COST-TO-CHARGE RATIO. SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,533,567. SCHEDULE H, PART III, SECTION A, LINE 2 THE GROSS BAD DEBT EXPENSE BEING REPORTED IS ACTUAL BAD DEBTS WRITTEN OFF PER OUR POLICY PLUS ACCRUAL OF ESTIMATES ON ACCOUNTS RECEIVABLE. OUR FINANCIAL ASSISTANCE POLICY ALLOWED FOR INDIGENT CARE DISCOUNTS. ANY PAYMENT ON A PREVIOUS BAD DEBT IS RECORDED AS A RECOVERY ON OUR BOOKS, IN A SEPARATE RECOVERY ACCOUNT. SCHEDULE H, PART III, SECTION A, LINE 3 NET BAD DEBT $1,533,567 TIMES COST TO CHARGE RATIO FROM AUDITED FINANCIAL STATEMENTS (PAGE 28 AND 30) OR 55.71% TIME COMPUTED 33% COLLECTION SUPERVIOR'S ESTIMATE OF BAD DEBTS THAT COULD BE CHARITY IF THE PERSONS WOULD FILL OUT OUR FORMS COMPLETELY. THIS EQUALS $1,533,567 X 55.71% X 33%. ESTIMATE EQUALS $281,944. SCHEDULE H, PART III, SECTION A, LINE 4 PLEASE SEE NOTE 1 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING THE ORGANIZATION'S BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION C, LINE 9B OUR FINANCIAL ASSISTANCE POLICY AND COLLECTION POLICY IS APPLIED TO ALL TYPES OF PATIENTS. SCHEDULE H, PART VI, LINE 2 PERSHING IS A SMALL RURAL CRITICAL ACCESS HOSPITAL AND as such RECEIVES CONTINUOUS FEEDBACK FROM THE PATIENTS WE SERVE, OUR PHYSICIANS, OTHER MEDICAL PROVIDERS, BOARD MEMBERS (WHO REPRESENT A WIDE REPRESENTATION OF OUR COMMUNITY), AND FROM VARIOUS ONGOING PATIENT SATISFACTION SURVEYS. SUCH SURVEYS ARE REPORTED AT BOARD MEETINGS AND DISTRIBUTED TO ALL HOSPITAL DEPARTMENTS. SCHEDULE H, PART VI, LINE 3 INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY (FAP) IS ON OUR WEBSITE. THE FAP, CHARITY CARE AND COLLECTION (PAYMENT ARRANGEMENTS) INFORMATION IS AVAILABLE THROUGH OUR COLLECTION PERSONNEL AND OTHERS AT PERSHING HOSPITAL AND THROUGH OUR WALK-IN CLINIC, COMMUNITY MEDICAL ASSOCIATE AT APPLEGATE MEDICAL GROUP, AND MEADVILLE MEDICAL CLINIC. FURTHER, WE PRINT A REFERENCE TO OUR FAP POLICY ON THE FRONT OF EACH PATIENT BILLING STATEMENT SENT OUT. SOCIAL SERVICES, THROUGH THE ASSESSMENT/CONSULTATION PROCESS, IDENTIFIES AND ASSISTS IN THE APPLICATION PROCESS. SCHEDULE H, PART VI, LINE 4 PERSHING HEALTH SYSTEM SERVES LINN COUNTY (POPULATION OF AROUND 13,000) AND SURROUNDING AREA. IT IS MADE UP OF RURAL COMMUNITIES WITH A MIXTURE OF BUSINESSES AND AGRICULTURE. SCHEDULE H, PART VI, LINE 5 PERSHING HEALTH SYSTEM CONSISTS OF PERSHING MEMORIAL HOSPITAL AND 2 (Two) PROVIDER BASED RHCS: 1) COMMUNITY MEDICAL ASSOCIATES, LOCATED WITHIN THE HOSPITAL AND OPEN 6 DAYS A WEEK AND 2) MEADVILLE MEDICAL CLINIC, 12 MILES FROM THE HOSPITAL, SERVES ONE OF THE SMALL COMMUNITIES WITHIN OUR SERVICE AREA WITH A NURSE PRACTITIONER. ALL OF THE PROVIDER BASED RHC PROVIDED CLINICAL ROTATION SITE FOR MEDICAL STUDENTS AND NURSE PRACTITIONERS AND PROVIDED JOB SHADOWING AND CLINICAL ROTATIONS TO THE AREA CAREER CENTERS. THEY ALSO PROVIDED FREE SPORTS PHYSICALS/HEALTHY CHILD EXAMS FOR ALL LINN COUNTY CHILDREN BETWEEN THE AGES OF 3 AND 18 AND/OR HIGH SCHOOL SENIOR From May to August. NURSE PRACTITIONERS PROVIDE WELL CHILD EXAMS YEARLY AT THE LINN COUNTY HEALTH DEPT. COMMUNITY MEDICAL ASSOCIATES ALSO ASSISTS WITH LOCAL EMPLOYERS IN CONDUCTING BMI, BODY MEASUREMENTS, AND HEIGHT/WEIGHT ASSESMENTS TO HELP PROMOTE A HEALTHY LIFESTYLE, IN TURN, EMPLOYEES RECEIVE A REDUCTION IN INSURANCE PREMIUMS. HOSPITAL WEEK, HELD ANNUALLY AT THE LOCAL (BROOKFIELD) PARK BAPTIST CHURCH AND AT MARCELINE BETHANY BAPTIST CHURCH PROCESSED BLOOD DRAWS. OTHER HEALTH FAIRS AND EVENTs were conducted AT OTHER BUSINESSES IN OUR SERVICE AREA. THE HOSPITAL HELD commUNITY SERVICE PROJECTs DURING THE YEAR. PERSHING HEALTH SYSTEM COLLABERATED WITH THE FOOD BANK OF CENTRAL AND NORTHEAST MISSOURI TO SPONSOR THE BUDDY PACK PROGRAM. THE BUDDY PACK PROGRAM PROVIDES MEALS ON WEEKENDS TO LINN COUNTY CHILDREN WHO RESIDE IN A FOOD INSECURE HOME. PERSHING STAFF ARE ACTIVELY INVOLVED (AND DONATE THEIR TIME) IN a MONTHLY MEETING OF THE FOLLOWING GROUPS: LINN CO C-2000, MINISTRIES IN LINN COUNTY, AND COMMUNITY CONNECTIONS. THE FOCUS OF ALL GROUPS IS TO IMPROVE THE LIVES OF CITIZENS IN LINN CO BY ADDRESSING SUICIDE, COMMUNITY POVERTY, AND HEALTHCARE ISSUES. PERSHING HEALTH SYSTEM PARTICIPATED IN A MOM'S BREAKING THE SILENCE COMMUNITY EVENT. THE PURPOSE OF THE EVENT WAS TO PROVIDE SUICIDE AWARENESS AND HEALTHY MENTAL HEALTH COPING SKILLS TO THE COMMUNITY. PERSHING PARTICIPATED IN PARADE ACTIVITIES AND SPONOSORED THE LOCAL PINK OUT GAME WHERE CANCER PREVENTION MATERIAL WAS PROVIDED TO THOSE COMMUNITY MEMBERS ATTENDING. X X false false false false false false false false false PHIL HAMILTON CEO - ENDED 11/2021 161112 0 24099 0 0 0 6558 0 15792 0 207561 0 KARLA CLUBINE CEO - BEGAN 11/2021 126526 0 0 0 0 0 2629 0 36823 0 165978 0 IRENE PARSONSON NURSE PRACTITIONER 132488 0 0 0 0 0 2669 0 32757 0 167914 0 BRIAN CASEBOLT DIRECTOR OF PHARMACY 134530 0 0 0 0 0 2789 0 36824 0 174143 0 GARY FITE DIRECTOR OF PHYSICAL THERAPY 134230 0 0 0 0 0 2751 0 23477 0 160458 0 FORM 990, PART VII SECTION A & SCHEDULE J, PART II THE COMPENSATION BEING REPORTED FOR PHIL HAMILTON AND KARLA CLUBINE IS PAID BY BOONE HOSPITAL CENTER, AN UNRELATED ORGANIZATION, FOR THEIR SERVICES AS CEO. SCHEDULE L, PART IV, LINE 1 TRANSACTION 1: A. JENNIFER THUDIUM B. JENNIFER THUDIUM IS AN EMPLOYEE OF PERSHING MEMORIAL HOSPITAL, AND IS THE DAUGHTER-IN-LAW OF WILLIAM THUDIUM, WHO IS A DIRECTOR OF PERSHING MEMORIAL HOSPITAL. C. $ 45,059 D. COMPENSATION E. NO FORM 990, PART VI, SECTION A, LINE 3 PERSHING MEMORIAL HOSPITAL HAS A MANAGEMENT AGREEMENT WITH BOONE HOSPITAL FOR THE OPERATION AND MANAGEMENT OF THE HOSPITAL. THE MANAGEMENT AGREEMENT PROVIDES DAILY OPERATING AUTHORITY TO THE MANAGEMENT COMPANY AND CEO SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF ASSOCIATION MEMBERSHIP. ALL MEMBERS OF THE CORPORATION ARE ENTITLED TO VOTE IN PERSON AT ALL MEETINGS OF MEMBERSHIP. THE MEETING OF MEMBERSHIP IS AN ANNUAL MEETING HELD ON THE FOURTH MONDAY IN JUNE. MEMBERS OF THIS CORPORATION HAVE THE RIGHT TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS AT THIS MEETING. MEMBERS ARE NOT ENTITLED TO RECEIVE A SHARE OF THE CORPORATIONS PROFITS, EXCESS DUES OR A SHARE OF THE CORPORATIONS NET ASSETS UPON DISSOLUTION. FORM 990, PART VI, SECTION A, LINE 7A & 7B MEMBERS OF THE CORPORATION HAVE THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS THEY HAVE ARE ADDRESSED. ONCE ALL REVIEWS ARE COMPLETED, THE FINAL RETURN IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. THE FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND THE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE IS DISTRIBUTED ANNUALLY TO THE BOARD OF DIRECTORS AND OFFICERS. THE QUESTIONNAIRE IS COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. IN SUCH A CASE THAT A CONFLICT OF INTEREST DOES OCCUR THE DISCLOSING INDIVIDUAL WITH THE CONFLICT OF INTEREST DOES NOT ATTEND ANY MEETINGS OR DISCUSSIONS REGARDING THE MATTER. THE DISCLOSING INDIVIDUAL DOES NOT VOTE OR ENDEAVOR TO INFLUENCE CORPORATE ACTION IN ANY SUCH MATTER. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE CEO'S COMPENSATION IS INCLUDED IN THE INDEPENDENT CONTRACT FEE TO BOONE HOSPITAL. BOONE HOSPITAL DETERMINES AND PAYS HER COMPENSATION. THE INDEPENDENT CONTRACTOR FEE IS APPROVED BY THE FILING ORGANIZATION'S BOARD OF DIRECTORS. THE CEO DETERMINES THE CFO'S COMPENSATION ANNUALLY. COMPENSATION SURVEYS ARE USED ANNUALLY TO EVALUATE COMPENSATION LEVELS. THE CEO CONDUCTS AN ANNUAL EVALUATION OF KEY MANAGEMENT STAFF. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND 990 FINANCIAL STATEMENTS ONLY ARE AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:2210517 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1864529