2023-05-12T15:35:11-05:00 2022-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2021-07-01 440629397 CARROLL COUNTY MEMORIAL HOSPITAL CARR 6605421695 1502 N JEFFERSON STREET CARROLLTON MO 64633 SCOTT THORESON CEO 6605421695 2023-05-12 1 SCOTT THORESON 999009999 MEGAN L KOZIOL CPA P01544037 4023302660 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SCOTT THORESON 1502 N JEFFERSON STREET CARROLLTON MO 64633 42391224 0 X WWW.CARROLLCOUNTYHOSPITAL.ORG X 1957 MO CARROLL COUNTY MEMORIAL HOSPITAL IS DEDICATED TO THE HEALTH AND WELL-BEING OF ALL WE SERVE. 10 9 280 15 0 0 5446588 412109 37637266 41685369 38656 97056 180687 131623 43303197 42326157 286269 0 0 0 18740483 20094898 0 0 0 20778720 20197326 39805472 40292224 3497725 2033933 46592122 41868787 16912423 10409202 29679699 31459585 CARROLL COUNTY MEMORIAL HOSPITAL IS DEDICATED TO THE HEALTH AND WELL-BEING OF ALL WE SERVE. 0 0 35758525 41702186 ACUTE CARE HOSPITAL ORGANIZED TO PROVIDE INPATIENT AND OUTPATIENT CARE TO AREA RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. 35758525 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 15 0 1 280 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X LESLEY DELANEY 6605421695 1502 NORTH JEFFERSON ST CARROLLTON MO 64633 TIMOTHY REID MD PHYSICIAN 40.00 0.00 X 317573 0 56124 JENNIFER POSTON PRESIDENT 1.00 0.00 X X 0 0 0 JODI AHNEFELD VICE PRESIDENT 1.00 0.00 X X 0 0 0 MATT LOCK SECRETARY 1.00 0.00 X X 0 0 0 TOM ANDERSON MEMBER 1.00 0.00 X 0 0 0 ANNA BARLOW MEMBER 1.00 0.00 X 0 0 0 KEVIN BROWN MEMBER 1.00 0.00 X 0 0 0 SHELLY KUSSMAN MEMBER 1.00 0.00 X 0 0 0 WADE MERTENSMEYER MEMBER 1.00 0.00 X 0 0 0 KIM RITCHHART MEMBER 1.00 0.00 X 0 0 0 RANDALL BARRY VICE PRESIDENT THRU 1/2022 1.00 0.00 X X 0 0 0 REX BUHRMESTER PRESIDENT THRU 1/2022 1.00 0.00 X X 0 0 0 SCOTT THORESON CEO 39.00 1.00 X 141824 0 10272 AMY IRELAND CFO 39.00 1.00 X 131387 0 42972 RICHARD SMITH MD PHYSICIAN 40.00 0.00 X 549782 0 34279 GREGORY HUBBARD MD PHYSICIAN 40.00 0.00 X 543573 0 32048 ANDREW HORINE MD PHYSICIAN 40.00 0.00 X 457241 0 43867 JEREMY STAYTON MD PHYSICIAN 40.00 0.00 X 456858 0 38829 GREGORY STAFFORD PA PHYSICIAN'S ASSISTANT 40.00 0.00 X 266367 0 21592 JEFF TINDLE FORMER CEO THRU 6/2021 40.00 0.00 X 180762 0 0 3045367 0 279983 22 1 1 0 HOSPITAL CARE CONSULTANTS 17304 PRESONT RD SUITE 1400 DALLAS TX 75272 HOSPITALIST SERVICES 679345 CERNER CORPORATION PO BOX 959159 ST LOUIS MO 63195 SOFTWARE & CONTRACT EMPLOYEES 642458 BERGANKDV PO BOX 735496 DALLAS TX 75373 IT SERVICES 567705 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75373 MEDICAL SERVICES 374762 HAVE A NICE DAY ANESTHESIA 2106 WOODCREST DRIVE CHILLICOTHE MO 64601 ANESTHESIA SERVICES 341005 11 412109 412109 MEDICARE/MEDICAID 624100 25099301 25099301 NET PATIENT SERVICE REVENUE 624100 15250153 15250153 340B DRUG PRICING PROGRAM 624100 1070420 1070420 ELECTRONIC HEALTH RECORD INCENTIV 624100 159729 159729 105766 105766 41685369 86660 86660 70350 53533 16817 16817 16817 21930 11534 10396 10396 10396 CAFETERIA 722514 114806 114806 114806 42326157 41702186 0 211862 X 700152 373697 326455 14369611 12591937 1777674 765629 667990 97639 4259506 3700439 559067 2547 2547 9112551 8689757 422794 68933 38812 30121 987153 634949 352204 599648 550532 49116 815951 639682 176269 122201 98019 24182 386172 271517 114655 2673798 2173460 500338 192008 159865 32143 MEDICAL SUPPLIES 2152662 2152536 126 IMPLICIT PRICE CONCESSI 1588236 1588236 MISC 679106 613236 65870 340(B) PHARMACY EXPENSE 629181 629181 187179 184680 2499 40292224 35758525 4533699 0 972 28492 17186113 14747469 3093321 5046362 538402 840128 381665 477641 42435992 26047738 17731107 16388254 2327201 1921538 905637 1178921 4427704 1239982 46592122 41868787 3457154 3449099 13140824 6945703 314445 14400 16912423 10409202 X 29190136 30895157 489563 564428 29679699 31459585 46592122 41868787 X 2033933 -328912 74865 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7894 7894 0 PART II-B, LINE 1: THE AMOUNT OF SCHEDULE C, PART II-B, LINE 1I REPRESENTS THE LOBBYING PORTION OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. 268115 268115 30424842 17378776 13046066 9865887 7372945 2492942 1877148 1296017 581131 16388254 RENTAL DEPOSITS 14400 14400 X 40537407 -328912 128398 -200514 40737921 1588236 1588236 42326157 38757521 53533 53533 38703988 1588236 1588236 40292224 PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2022 AND 2021, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST OF FOUNDATION 74,865. RENTAL EXPENSES 53,533. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,588,236. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 53,533. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,588,236. 1 1 X 1 X 1 X 1 1 1 0 1 0 253305 0 253305 0.00650 2353409 1415626 937783 0.02420 2606714 1415626 1191088 0.03070 15943 0 15943 0.00040 402187 0 402187 0.01040 19050 0 19050 0.00050 437180 437180 0.01130 3043894 1415626 1628268 0.04200 1 1588236 0 12738429 12014203 724226 X 1 1 1 1 CARROLL COUNTY MEMORIAL HOSPITAL 1502 NORTH JEFFERSON ST CARROLLTON MO 64633 210-58 X X X X PHYSICIAN CLINICS CARROLL COUNTY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X X 21 1 0 0 1 X HTTP://WWW.CARROLLCOUNTYHOSPITAL.ORG/COMMUNITY X 1 21 1 HTTP://WWW.CARROLLCOUNTYHOSPITAL.ORG/COMMUNITY 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.CARROLLCOUNTYHOSPITAL.ORG/PATIENTS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.CARROLLCOUNTYHOSPITAL.ORG/PATIENTS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.CARROLLCOUNTYHOSPITAL.ORG/PATIENTS/FINANCIAL-ASSISTANCE-POLICY X X X X X X 1 X 0 X X X X 1 X 0 0 CARROLL COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 3J: KEY FINDINGS INCLUDE: SUBSTANCE ABUSE, MENTAL HEALTH, OBESITY, UNINSURED/UNDERINSURED SERVICES, AFFORDABLE HOUSING, AND VACCINATION EDUCATION CARROLL COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: CARROLL COUNTY MEMORIAL HOSPITAL INTERVIEWD HOSPITAL STAKEHOLDERS, COMMUNITY LEADERS, AND BUSINESS OWNERS TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THE INFORMATION GATHERED FROM THE INTERVIEWS PLAYED AN INSTRUMENTAL PART IN THE DEVELOPMENT OF AN IMPLEMENATATION PLAN TO ADDRESS THE NEEDS OF THE COMMUNITY. CARROLL COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: CARROLL COUNTY HAS AN IMPLEMENATION PLAN THAT WE FOLLOW TO MEET THE NEEDS IDENTIFIED IN THE CHNA. THREE PRIORITY AREAS OF SIGNIFICANT NEED WERE IDENTIFIED: SUBSTANCE ABUSE/MENTAL HEALTH AND OBESITY. EACH OF THESE WERE ADDRESSED IN THE IMPLEMENTATION STRATEGY. 5 1 - JEFFERSON MEDICAL GROUP 1502 N JEFFERSON CARROLLTON MO 64633 RURAL HEALTH CLINIC 2 - JEFFERSON MEDICAL GROUP - NORBORNE 105 EAST 2ND STREET NORBONNE MO 64668 RURAL HEALTH CLINIC 3 - JEFFERSON MEDICAL GROUP - HALE 221 ELM STREET HALE MO 64643 RURAL HEALTH CLINIC 4 - CCMH HOME HEALTH 1502 N JEFFERSON CARROLLTON MO 64633 HOME HEALTH AGENCY 5 - JEFFERSON MEDICAL GROUP - BRUNSWICK 807 EAST BROADWAY STREET BRUNSWICK MO 65236 RURAL HEALTH CLINIC PART I, LINE 3C: DISCOUNTED OR FREE CARE IS BASED OFF OF 200% OF FEDERAL POVERTY GUIDELINES. ALSO, IN CATASTROPHIC MEDICAL CASES WHERE THE PATIENTS MEDICAL BILLS EXCEED 20% OF THEIR GROSS INCOME, PLUS ASSETS FOR THE YEAR. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS NOT PREPARED BY A RELATED PARTY. PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. PART I, LINE 7G: NO PHYSICAN CLINIC COSTS ARE INCLUDED. PART I, LN 7 COL(F): THE AMOUNT OF IMPLICIT PRICE CONCESSIONS EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,588,236. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION DOES NOT REPORT ANY COMMUNITY BUILDING ACTIVITIES. PART III, LINE 2: THE HOSPITAL DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S POLICY, AND OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS PART III, LINE 3: THE AMOUNT OF IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE IS BASED ON SELF-PAY ONLY PATIENTS COVERED BY MEDICAID HMOS AND THE PERCENT OF THE ELIGIBLE MEDICAID AND MEDICAID HMO PATIENTS DIVIDED BY TOTAL IMPLICIT PRICE CONCESSIONS THIS PERCENTAGE IS THEN MULTIPLIED BY SELF-PAY PATIENTS (PRIM HEALTH PLAN). THE TWO ESTIMATES ARE THEN COMBINED. NONE OF THIS AMOUNT IS CONSIDERED COMMUNITY BENEFIT. PART III, LINE 4: THE HOSPITAL'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, PAGES 8, 10, AND 11 OF THE ATTACHED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT RECEIVABLES," "PATIENT SERVICE REVENUE, AND "PATIENT FINANCIAL ASSISTANCE." PART III, LINE 8: CCMH BELIEVES THAT MEDICARE SHORTFALLS SHOULD QUALIFY AS A COMMUNITY BENEFIT COST IF THE MEDICARE BENEFICIARY IS INDIGENT. THIS WAS NOT APPLICABLE TO THE 2021 RETURN AS LINE 7 REPORTS A SURPLUS IN 2021. PART III, LINE 9B: EACH PATIENT IS PROVIDED WITH PAYMENT INFORMATION IN CLEAR, EASY-TO-UNDERSTAND LANGUAGE. CCMH CHECKS ON PUBLIC-ASSISTANCE PROGRAMS TO SEE IF THE PATIENT QUALIFIES. THE HOSPITAL OFFERS DISCOUNTS ON CHARGES TO UNDERINSURED PATIENTS WHEN POSSIBLE. PART VI, LINE 2: CARROLL COUNTY MEMORIAL HOSPITAL RELIES ON INTERACTION WITH LOCAL CARE AGENCIES AS WELL AS FEEDBACK FROM PATIENTS AND PRIMARY SERVICE AREA RESIDENTS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. PART VI, LINE 3: CCMH PROVIDES EACH PATIENT WITH A LETTER THAT CLEARLY STATES PAYMENT INFORMATION IN AN EASY TO UNDERSTAND LANGUAGE. THE HOSPITAL INFORMS PATIENTS PROMPTLY ABOUT THE CHARGE FOR ANY ITEM OR SERVICE PROVIDED. THE LETTER INFORMS THE PATIENT THAT IF THEY ARE NOT ABLE TO PAY THEIR HOSPITAL BILL THERE ARE PROGRAMS THAT MAY HELP ALLEVIATE THEIR BURDEN. IF PROMPTED, THE HOSPITAL WILL CHECK FOR PUBLIC ASISTANCE OR CHARITY CARE PROGRAMS TO SEE IF THE PATIENT QUALIFIES PART VI, LINE 4: CARROLL COUNTY MEMORIAL HOSPITAL IS LOCATED IN CARROLLTON, MISSOURI. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF CARROLLTON AND THE SURROUNDING AREAS OF CARROLL COUNTY. CARROLL COUNTY MEMORIAL HOSPITAL OPERATES THREE SATELLITE CLINICS LOCATED IN BRUNSWICK, HALE AND NORBORNE. CARROLL COUNTY HAS A POPULATION OF APPROXIMATELY 8,679 RESIDENTS, WITH 35.5% OF THE RESIDENTS LIVING IN URBAN AREAS AND 64.5% LIVING IN RURAL AREAS. THE MEDIAN ANNUAL HOUSEHOLD INCOME FOR CARROLL COUNTY IS APPROXIMATELY $43,583. PART VI, LINE 5: CARROLL COUNTY MEMORIAL HOSPITAL WAS ORIGINALLY FOUNDED BY LOCAL CITIZENS FOCUSED ON HEALTHCARE FOR CARROLL COUNTY AND THE SURROUNDING AREA. CCMH IS "DEDICATED TO THE HEALTH AND WELL-BEING OF ALL WE SERVE AND UNDERSTANDS COMMUNITY HEALTH GOES BEYOND THE WALLS OF THE HOSPITAL.CCMH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE ASSESSMENT HELPS THE HOSPITAL SET GOALS TO IMPROVE THE HEALTH STATUS OF ITS PATIENTS AND THE COMMUNITY. CCMH'S CURRENT GOALS ARE FOCUSED ON LIFESTYLE BEHAVIORS, ACCESS TO CARE, AND MENTAL HEALTH FOR YOUTH AND ADULTS.CCMH PARTICIPATES IN THE CARROLL COUNTY COALITION FOCUSING ON MENTAL HEALTH AND SUBSTANCE USE DISORDER. CCMH HAS IMPLEMENTED THE FOLLOWING STRATEGIES TO ADDRESS MENTAL HEALTH INITIATIVES:1. INCREASE AWARENESS OF COMMUNITY RESOURCES THROUGH A COMMUNITY RESOURCE GUIDE.2. COLLABORATE WITH LOCAL SCHOOL DISTRICTS TO REVIEW CURRENT METHODS OF IDENTIFYING YOUTH AT-RISK AND OFFER COLLABORATIVE ASSISTANCE.3. PROVIDE RESOURCES TO SUPPORT AND ASSIST WITH PREVENTION AND TREATMENT OF SUBSTANCE USE DISORDER.4. PROVIDE PSYCHIATRIC AND THERAPY SERVICES.CCMH ALSO WORKS TO IMPROVE ACCESS TO BASIC AND PREVENTATIVE CARE ESPECIALLY FOR THE UNINSURED AND UNDER-INSURED THROUGH THE FOLLOWING STRATEGIES:1. PROVIDE COMMUNITY EDUCATION AND AWARENESS.2. IMPROVE ACCESSIBILITY THROUGH SATELLITE CLINICS IN SURROUNDING COMMUNITIES.3. SUPPORT THE NURSE NAVIGATOR PROGRAM TO ASSIST PATIENTS WITH GUIDANCE THROUGHOUT THEIR HEALTHCARE JOURNEY.4. EXPAND VIRTUAL VISITS.THE HOSPITAL ALSO HOUSES THE CCMH WELLNESS CENTER, A UNIQUE REHAB AND FITNESS CENTER, WHICH INCORPORATES AN INDOOR POOL, SAUNA, HOT TUB, INDOOR 1/16-MILE WALKING TRACK, AND STATE OF THE ART FITNESS EQUIPMENT WITH CERTIFIED THERAPISTS AND TRAINERS PROVIDING THERAPY AND PROGRAMS TO RESIDENTS OF CARROLL COUNTY AND THE SURROUNDING AREAS. PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES MO 1 X X 0 0 0 1 0 0 0 0 0 RICHARD SMITH MD PHYSICIAN 444627 0 104690 0 465 0 23200 0 11079 0 584061 0 0 0 GREGORY HUBBARD MD PHYSICIAN 541693 0 500 0 1380 0 0 0 32048 0 575621 0 0 0 ANDREW HORINE MD PHYSICIAN 390754 0 66321 0 166 0 23200 0 20667 0 501108 0 0 0 JEREMY STAYTON MD PHYSICIAN 425219 0 31171 0 468 0 7076 0 31753 0 495687 0 0 0 TIMOTHY REID MD PHYSICIAN 265325 0 52051 0 197 0 23200 0 32924 0 373697 0 0 0 GREGORY STAFFORD PA PHYSICIAN'S ASSISTANT 232388 0 33464 0 515 0 21592 0 0 0 287959 0 0 0 JEFF TINDLE FORMER CEO THRU 6/2021 180762 0 0 0 0 0 0 0 0 0 180762 0 0 0 AMY IRELAND CFO 119691 0 11600 0 96 0 10618 0 32354 0 174359 0 0 0 SCOTT THORESON CEO 141331 0 0 0 493 0 0 0 10272 0 152096 0 0 0 PART I, LINE 5 A PORTION OF PHYSICIAN COMPENSATION WAS CALCULATED QUARTERLY USING A PERCENTAGE OF REIMBURSEMENT. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE ELECTED OFFICERS AND TWO OTHER MEMBERS OF THE BOARD APPOINTED BY THE PRESIDENT, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A SEPARATE ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE FORM 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD SETS THE CONFLICT OF INTEREST POLICY AND ADMINISTRATION IS CHARGED WITH ASSURING THAT COMPLIANCE IS MAINTAINED. THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST DISCLOSURE FORM. IF A CONFLICT ARISES THE CONFLICTED PERSON DOES NOT TAKE PART IN THE VOTE ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD CONDUCTS AN ANNUAL SALARY REVIEW FOR THE CEO. THE BOARD APPROVES THE AMOUNT OF COMPENSATION. THE LAST REVIEW WAS CONDUCTED IN 2022. ALL OTHER MANAGEMENT POSITIONS ARE HIRED, REVIEWED, AND MONITORED BY THE CEO AND LEADERSHIP TEAM. COMPENSATION REVIEWS OCCUR ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHARMACY EXPENSE: PROGRAM SERVICE EXPENSES 2,542,277. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,542,277. OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 6,147,480. MANAGEMENT AND GENERAL EXPENSES 422,794. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,570,274. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST OF FOUNDATION 74,865. PART XII, LINE 2C THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CARROLL COUNTY MEMORIAL HOSPITAL FDN 1502 N JEFFERSON ST CARROLLTON MO 64633 463696048 SUPPORT MO 501(C)(3) LINE 7 CARROLL COUNTY MEMORIAL HOSPITAL 1 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0