2023-11-13T15:30:31-06:00 2022-12-31 FORVIS LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2022-01-01 480892178 CITIZENS MEDICAL CENTER INC % RYAN STOVER CITI 7854627511 100 E COLLEGE DRIVE COLBY KS 67701 RYAN STOVER CFO 7854627511 2023-11-15 true Ryan Stover 999009999 SHAWNELL LINOT P01663908 3162652811 2 2022 2023-04-26 12:10:37Z DAVID MCCORKLE 100 E COLLEGE DRIVE COLBY KS 67701 57056688 false X WWW.CMCIKS.COM X 1979 KS ENHANCING THE LIVES OF THOSE WE SERVE. 6 6 534 25 0 0 8204636 815333 50428218 53948360 3715 12604 702142 2280391 59338711 57056688 17156 19130 0 0 28909381 32788264 0 0 84701 21121073 23550047 50047610 56357441 9291101 699247 38946719 37609591 12470671 10648151 26476048 26961440 ENHANCING THE LIVES OF THOSE WE SERVE. false false 47070418 12130 53961152 CMCI PROVIDED A WIDE RANGE OF HEALTHCARE SERVICES TO RESIDENTS OF ITS SERVICE AREA. 3,802 PATIENT DAYS OF INPATIENT CARE, 17,595 PATIENT DAYS OF NURSING FACILITY CARE, 3,703 EMERGENCY ROOM VISITS, AND 34,237 PHYSICIAN CLINIC VISITS WERE PROVIDED DURING THE FISCAL YEAR. 47070418 true true false true false false false false false false true false false true false false true false false false false false false false false false true true false true true false false false false false false false false false false false false false true true true true false true 52 0 true 534 true true true false false false false false false false false false false false X 6 6 false false false false true true false true true false false true true true true true true true true false X RYAN STOVER 7854627511 100 E COLLEGE DRIVE COLBY KS 67701 X KELLY GABEL PHYSICIAN 40.0 0.0 X 440487 0 55284 DARREN MATCHELL PHYSICIAN 40.0 0.0 X 435581 0 39369 BRENDA KOPRIVA PHYSICIAN 40.0 0.0 X 424863 0 37899 DERECK TOTTEN PHYSICIAN 40.0 0.0 X 381082 0 51538 KYSHA NICHOLS-TOTTEN PHYSICIAN 40.0 1.0 X 392491 0 24632 GREG UNRUH CEO 40.0 0.0 X 281713 0 31175 DAVID MCCORKLE CHIEF EXECUTIVE OFFICER 40.0 1.0 X 209076 0 35256 RYAN STOVER CHIEF FINANCIAL OFFICER 40.0 1.0 X 193906 0 24613 BOB STANDAGE CHAIR 4.0 0.0 X X 0 0 0 LON FRAHM VICE CHAIR 4.0 0.0 X X 0 0 0 JANET SADDLER SECRETARY 4.0 0.0 X X 0 0 0 MICHAEL HAMILTON TREASURER 4.0 0.0 X X 0 0 0 JEANENE BROWN TRUSTEE 4.0 0.0 X 0 0 0 EILEEN LOVENSTEIN TRUSTEE 4.0 0.0 X 0 0 0 JENNIFER SCHOENFELD TRUSTEE 4.0 0.0 X 0 0 0 2759199 0 299766 54 false true false AMERISOURCE PO BOX 27550 CHICAGO IL 606731275 MEDICAL 948659 MEDICAL RECOVERY SERVICES ASSOCIATE 901 W MAIN ST STE 100 BLUE SPRINGS MO 640153787 BILLING SERVICES 639472 MEDLINE INDUSTRIES DEPT 1080 PO BOX 121080 DALLAS TX 753121080 MEDICAL SUPPLIER 1061530 HFG ARCHITECTURE 330 N MEAD ST WICHITA KS 67202 ARCHITECTURE SVCS 2636378 MCCARTHY BUILDING CO INC 12851 MANCHESTER RD ST LOUIS MO 63131 PRECONSTRUCTION 523858 41 401762 301459 112112 815333 Net Patient Service Revenue 621990 49781084 49781084 340B Drug Program 621990 4167276 4167276 53948360 12604 12604 0 0 17415 17415 0 17415 17415 0 0 0 0 0 0 0 0 0 0 Childcare 621990 255417 255417 Pharmacy Sales 624410 12792 12792 Cafeteria & Vending 446110 168083 168083 1826684 1826684 2262976 57056688 53961152 2280203 X 4630 4630 14500 14500 0 0 775739 775739 0 25557066 23001134 2523195 32737 973426 909096 64370 -40 4121805 3373707 737497 10601 1360228 1187970 170543 1715 0 68898 68898 206106 206106 7247 7247 0 6021 6021 5959038 4219796 1739242 0 73169 4757 68412 1696894 1357630 337126 2138 0 0 521691 258790 258656 4245 108060 69130 38684 246 0 88621 75283 13327 11 143550 71057 71057 1436 0 2255087 1116268 1116268 22551 439000 200310 238690 Drugs 6013566 6013566 Medical Supplies 2856342 2856342 Repairs and Maintenance 1178440 932434 242370 3636 Food Expense 511357 511357 1416960 892661 518874 5425 56357441 47070418 9202322 84701 7400213 1897777 0 0 0 0 7468200 6480776 0 0 0 0 326952 266795 1629735 1870511 648372 502883 54663965 35132689 14968494 19531276 0 0 0 0 0 0 0 579183 6504753 6480390 38946719 37609591 4454736 6557758 0 0 4186113 0 0 0 0 0 0 0 3829822 4090393 0 0 0 0 12470671 10648151 X 23578579 25116177 2897469 1845263 26476048 26961440 38946719 37609591 X 699247 -105241 -108614 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7247 false false false 7247 false false SCHEDULE C, PART II-B, LINE 1f CITIZENS MEDICAL CENTER, INC., IS A MEMBER OF THE KANSAS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THESE ORGANIZATIONS ENGAGE IN LOBBYING ACTIVITIES FOR HOSPITAL AND GENERAL HEALTH CARE INTERESTS AS PART OF THE SERVICES PROVIDED TO MEMBERS. 9.3% OF KHA DUES AND 27.29% OF AHA DUES PAID WERE FOR LOBBYING ACTIVITIES. 235982 235982 22142257 17106767 5035490 2224002 1862674 361328 21736034 16163248 5572786 8325690 8325690 19531276 Interest Receivable 1209 Beneficial Interest in Net Ass 1845263 Reinsurance Proceeds Recoverab 48052 Other Receivables 2105334 Assets Limited As to Use 2480532 6480390 56836812 -105241 -108614 -213855 57050667 6021 6021 57056688 56351420 56351420 6021 6021 56357441 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 2D CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATIONS NET OF TRANSFERS (108,614) true true X true X 130. true X true true false false 546604 546604 0.00970 3353079 2188889 1164190 0.02070 3899683 2188889 1710794 0.03040 16 560 100300 0 100300 0.01800 10 2187 31144 9325 21819 0.00400 0 0 0 0 0.00000 0 0 0 0 0.00000 1 0 488 0 488 0.00000 27 2747 131932 9325 122607 0.02200 27 2747 4031615 2198214 1833401 0.05240 true 1650093 45530659 45530659 X true true 1 1 CITIZENS MEDICAL CENTER 100 E COLLEGE DRIVE COLBY KS 67701 H097001 X X X X NURSING FACILITY AND RURAL HEALTH CLINIC. CITIZENS MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false true true X SEE SCH H, PART V, SECTION C X true 21 true SEE SCH H, PART V, SECTION C false true X 130. 300. X X X true true X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, 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 EACH COMMUNITY HAS A WEALTH OF EXPERTISE TO BE TAPPED TO CONDUCT THE CHNA. FOR THIS PURPOSE, TOWN HALL MEETINGS ARE THE PERFECT FORUM TO GATHER COMMUNITY INSIGHT. TOWN HALL SESSIONS WERE ORGANIZED TO PROVIDE AN OBJECTIVE CONSENSUS-BUILDING METHOD OF REVIEWING AND PRIORITIZING COUNTY HEALTH ISSUES. DURING THE MEETINGS, THE TOPICS OF ISSUE WERE ADDRESSED WITH ROUND TABLE DISCUSSIONS. THE INDIVIDUALS AND ORGANIZATIONS COMPRISING THE TOWN HALLS WERE CRITICALLY IMPORTANT TO THE SUCCESS OF THE CHNA. THE FOLLOWING LIST OUTLINES PARTNERS INVITED TO EACH TOWN HALL MEETING: LOCAL HOSPITAL, PUBLIC HEALTH COMMUNITY, MENTAL HEALTH COMMUNITY, COMMUNITY-BASED CLINICS, SERVICE PROVIDERS, LOCAL RESIDENTS,COMMUNITY LEADERS, OPINION LEADERS, SCHOOL LEADERS, BUSINESS LEADERS,LOCAL GOVERNMENT, FAITH-BASED ORGANIZATIONS AND PERSONS (OR ORGANIZATIONS) SERVING THEM, PEOPLE WITH CHRONIC CONDITIONS, UNINSURED COMMUNITY MEMBERS, LOW-INCOME RESIDENTS, AND MINORITY GROUPS. SCHEDULE H, PART V, SECTION B, LINE 6B THOMAS COUNTY HEALTH DEPARTMENT AND THOMAS COUNTY COMMISSIONERS/REPRESENTATIVES. SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://CMCIKS.COM/PATIENTS-VISITORS/COMMUNITY-HEALTH-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://CMCIKS.COM/PATIENTS-VISITORS/COMMUNITY-HEALTH-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 11 The top areas of need found in the 2021 CHNA process were as follows: 1. Mental Health 2. Housing 3. Child Care Options 4. Lake of Qualified Available Workforce 5. Drug & Alcohol Abuse 6. Nutrition/Healthy Food Options These needs are being addressed on an ongoing basis according to the Implementation Plan. Although there were other needs identified during the CHNA process, not all needs are being addressed by CMCI due to both time and financial resources. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C HTTPS://CMCIKS.COM/CITIZENS-MEDICAL-CENTER/PATIENT-FINANCIAL-SERVICES/ 2 PRAIRIE SENIOR LIVING COMPLEX 1625 S FRANKLIN AVE COLBY KS 67701 LONG-TERM CARE FACILITY FAMILY CENTER FOR HEALTH CARE 310 E COLLEGE DRIVE COLBY KS 67701 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AT COST WAS DETERMINED BY UTILIZING DEPARTMENTAL COST-TO-CHARGE RATIOS FOR FINANCIAL ASSISTANCE PROVIDED IN AREAS THAT ARE REPORTED AS SUBSIDIZED HEALTH SERVICES. AN OVERALL COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO DETERMINE THE COST OF FINANCIAL ASSISTANCE PROVIED FOR SERVICES NOT REPORTED AS SUBSIDIZED HEALTH SERVICES. UNREIMBURSED MEDICAL COSTS WERE ALSO DETERMINED USING A BLEND OF COST-TO-CHARGE RATIOS FOR CERTAIN SERVICES AND AN OVERALL COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 FOR ALL OTHER SERVICES. THE COST OF PROVIDING SUBSIDIZED HEALTH SERVICES WAS DETERMINED USING A COST-TO-CHARGE RATIO FOR EACH SERVICE. ACTUAL COSTS AND REVENUES WERE UTILIZED FOR ALL OTHER ITEMS REPORTED ON LINE 7. SCHEDULE H, PART I, LINE 7, COLUMN F NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. SCHEDULE H, PART III, LINE 2 BAD DEBTS AT COST WERE DETERMINED BY UTILIZING DEPARTMENTAL COST-TO-CHARGE RATIOS FOR BAD DEBTS IN AREAS THAT ARE REPORTED AS SUBSIDIZED HEALTH SERVICES. AN OVERALL COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO DETERMINE THE COST OF BAD DEBTS IN ALL OTHER AREAS. SCHEDULE H, PART III, LINE 3 THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. SCHEDULE H, PART III, LINE 4 Not applicable due to adoption of ASU 606 Revenue from Contracts with Customers. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS WERE DETERMINED USING AMOUNTS FROM THE MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT APPORTIONS ACTUAL COSTS TO THE MEDICARE PROGRAM USING CHARGES FOR ANCILLARY SERVICES AND PATIENT DAYS FOR NURSING SERVICES. THE MEDICAL CENTER BELIEVES THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. SCHEDULE H, PART III, LINE 9B THE FINANCIAL ASSISTANCE POLICY STATES THAT PATIENTS QUALIFYING FOR CHARITY CARE MUST COMPLETE A FINANCIAL ASSISTANCE QUESTIONNAIRE AND SUBMIT A COPY OF THE PATIENT'S OR RELATIVE'S MOST RECENTLY-FILED TAX RETURN. IF CHARITY CARE IS CONSIDERED APPROPRIATE BY A COMMITTEE, THE PATIENT'S LIABILITY WILL BE REDUCED BY THE APPROVED AMOUNT. ANY REMAINING BALANCE ON PATIENT ACCOUNTS IS SUBJECT TO THE DEBT COLLECTION PROCEDURES ARTICULATED IN THE WRITTEN POLICY. SCHEDULE H, PART VI, LINE 2 THE MEDICAL CENTER ASSESSES THE COMMUNITY HEALTH CARE NEEDS PRIMARILY FROM RESPONSES FROM PATIENTS, COMMUNITY MEMBERS, AND HEALTH PROFESSIONALS. THE MEDICAL CENTER WILL TAKE INTO ACCOUNT CONCERNS OR REQUESTS FOR SERVICES THAT ARE EXPRESSED BY ALL PATIENTS AND COMMUNITY MEMBERS. ALSO, THE MEDICAL CENTER CONSIDERS REQUESTS MADE BY HEALTH PROFESSIONALS WHO INCLUDE, BUT ARE NOT LIMIT TO, PHYSICIANS, MID-LEVEL PROVIDERS, SOCIAL WORKERS, NURSES, AND DIETICIANS. SCHEDULE H, PART VI, LINE 3 ALL UNINSURED AND UNDER-INSURED PATIENTS ARE IDENTIFIED AND SCREENED UPON ADMISSION BY THE PATIENT FINANCIAL ADVISOR. DURING THIS INTERVIEW PROCESS, PAYMENT TERMS ARE DISCUSSED. IF THE PATIENT APPEARS TO NOT HAVE THE ABILITY TO PAY, THEY ARE ASKED TO COMPLETE A FINANCIAL QUESTIONNAIRE AND PROVIDE A COPY OF THEIR MOST RECENTLY FILED TAX RETURN FOR DETERMINING THEIR ABILITY TO PAY UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. IF DURING THIS INTERVIEW PROCESS, IT APPEARS THAT A PATIENT MAY QUALIFY FOR ASSISTANCE UNDER STATE OR FEDERAL ASSISTANCE PROGRAMS, THEY ARE REFERRED TO CMCI'S SOCIAL SERVICES DEPARTMENT FOR ASSISTANCE IN COMPLETING THE APPLICABLE APPLICATIONS. SCHEDULE H, PART VI, LINE 4 THE MEDICAL CENTER IS LOCATED IN COLBY, KS AND SERVES THE NINE-COUNTY REGION OF NORTHWEST KANSAS, SEVERAL OF WHICH ARE MEDICALLY UNDERSERVED. THERE ARE A TOTAL OF EIGHT SMALL HOSPITALS SERVING THIS NINE-COUNTY REGION, HOWEVER, CMCI PROVIDES MANY SERVCES THAT ARE UNAVAILABLE IN SMALLER HOSPITALS. THE CLOSEST HOSPITALS TO THE MEDICAL CENTER ARE LOCATED IN OAKLEY, ATWOOD, AND HOXIE. THESE HOSPITALS ARE APPROXIMATELY 23,30, AND 36 MILES FROM COLBY, RESPECTIVELY. THE HIGHEST CONCENTRATION OF POPULATION FOR THE SERVICE AREA IS LOCATED IN COLBY, KS. COLBY HAS A POPULATION OF APPROXIMATELY 5,400 PEOPLE. THE MEDIAN HOUSEHOLD INCOME FOR THE CITY IS APPROXIMATELY $48,600. A MAJOR PORTION OF THE POPULATION THAT THE MEDICAL CENTER SERVES IS MEDICARE-ELIGIBLE CITIZENS WHO LIVE ON A FIXED INCOME. SCHEDULE H, PART VI, LINE 5 THE MEDICAL CENTER IS A GRANTEE OF THE KANSAS DEPARTMENT OF HEALTH & ENVIRONMENT, KANSAS QUALITY OF CARE PROJECT, AND PARTICIPATES IN PROGRAMS IDENTIFIED BY THE STATE AS NEEDED TO HELP IMPROVE THE HEALTH OF RESIDENTS OF OUR STATE AND LOCAL AREA. KANSAS PROMOTING HEALTH PROGRAM IS A CHONIC DISEASE SUPPORT GROUP AND IS A PROGRAM IN WHICH THE MEDICAL CENTER HAS TRAINED FACILITATORS AND OFFERS CLASSES. true SCHOLARSHIPS 13 14500 SCHEDULE I, PART I, LINE 2 CITIZENS MEDICAL CENTER AWARDS SCHOLARSHIPS ANNUALLY TO INDIVIDUALS WHO ARE STUDYING IN HEALTHCARE FIELDS INCLUDING, BUT NOT LIMITED TO: NURSING, LAB, RADIOLOGY, THERAPY, DIETETICS, MEDICAL RECORDS, TRANSCRIPTION, GERIATRICS, MD, DO, ARNP, PA, PHARMACY, SOCIAL SERVICES, OR HEALTHCARE ADMINISTRATION. CANDIDATES MUST COMPLETE AN APPLICATION AND ARE INTERVIEWED BY THE FOUNDATION EXECUTIVE DIRECTOR AND EDUCATION MANAGER. THE CITIZENS FOUNDATION BOARD AND CEO APPROVE THE FINAL SCHOLARSHIP RECIPIENTS. THE SCHOLARSHIP RECIPIENTS ARE RESPONSIBLE FOR TRACKING THE FUNDS AFTER AWARDS ARE MADE. X X false false false true false true false false false RYAN STOVER CHIEF FINANCIAL OFFICER 174081 0 19375 0 450 0 10332 0 14281 0 218519 0 0 0 DAVID MCCORKLE CHIEF EXECUTIVE OFFICER 193987 0 14826 0 263 0 10998 0 24258 0 244332 0 0 0 KELLY GABEL PHYSICIAN 439862 0 325 0 300 0 22791 0 32493 0 495771 0 0 0 KYSHA NICHOLS-TOTTEN PHYSICIAN 391896 0 325 0 270 0 19624 0 5008 0 417123 0 0 0 BRENDA KOPRIVA PHYSICIAN 424238 0 325 0 300 0 8646 0 29253 0 462762 0 0 0 DARREN MATCHELL PHYSICIAN 435256 0 325 0 0 0 17140 0 22229 0 474950 0 0 0 DERECK TOTTEN PHYSICIAN 380487 0 325 0 270 0 19824 0 31714 0 432620 0 0 0 GREG UNRUH CEO 228439 0 49464 0 3810 0 14598 0 16577 0 312888 0 0 0 SCHEDULE J, PART I, LINE 5A KELLY GABEL, KYSHA NICHOLS-TOTTEN, BRENDA KOPRIVA, DARREN MATCHELL, AND DERECK TOTTEN RECEIVED A BONUS IN 2022 BASED ON THE REVENUES OF THE ORGANIZATION. SCHEDULE J, PART I, LINE 6A DAVID MCCORKLE AND RYAN STOVER ARE COMPENSATED BY CITIZENS MEDICAL CENTER, INC., AND HAVE A BONUS ARRANGEMENT THAT IS BASED ON FOUR AREAS: PATIENT SATISFACTION, NET MARGIN, AR DAYS BELOW 60, AND DOCTOR TO DOOR AVERAGE TIME. FORM 990, PART VI, SECTION A, LINE 6 THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION WITH 21 MEMBERS AT DECEMBER 31, 2022. FORM 990, PART VI, SECTION A, LINE 7A THE MEDICAL CENTER'S CORPORATE MEMBERS ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE RETURN IS THEN REVIEWED BY THE ORGANIZATION'S CEO AND BOARD OF TRUSTEES. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE FORM IS PROVIDED WITH A COPY TO THE CURRENT CONFLICT OF INTEREST POLICY. THIS DISCLOSURE IS COMPLETED BY EACH MEMBER OF THE BOARD OF TRUSTEES UPON ELECTION AND ANNUALLY THEREAFTER. IF A CONFLICT OF INTEREST IS DISCOVERED, THE MEMBER CONCERNED IS NOT ALLOWED TO VOTE ON THE RELATED MATTER. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE BOARD OF TRUSTEES REVIEWS THE COMPENSATION OF THE CEO AND SENIOR MANAGEMENT. THE MEDICAL CENTER RELIES ON A JOINT WAGE SALARY REPORT PUBLISHED BY THE KANSAS HOSPITAL AND MISSOURI HOSPITAL ASSOCIATIONS, AS WELL AS ANY AND ALL AVAILABLE LOCAL DATA. FORM 990, PART VI, SECTION C, LINE 19 THE MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9 THE CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATIONS NET OF TRANSFERS IS 564,342. FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIA TOTAL FEES:1252152 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY/340B DRUG TOTAL FEES:227320 FORM 990 PART IX LINE 11G DESCRIPTION:LAB TOTAL FEES:394745 FORM 990 PART IX LINE 11G DESCRIPTION:NUCLEAR MEDICINE TOTAL FEES:77531 FORM 990 PART IX LINE 11G DESCRIPTION:SPECIALTY CLINIC TOTAL FEES:378442 FORM 990 PART IX LINE 11G DESCRIPTION:FCHC CLINIC TOTAL FEES:383029 FORM 990 PART IX LINE 11G DESCRIPTION:NURSING TOTAL FEES:630 FORM 990 PART IX LINE 11G DESCRIPTION:ROUTINE SERVICES TOTAL FEES:64765 FORM 990 PART IX LINE 11G DESCRIPTION:BUSINESS OFFICE TOTAL FEES:822214 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATION TOTAL FEES:603265 FORM 990 PART IX LINE 11G DESCRIPTION:HEALTH INFORMATION TOTAL FEES:238451 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING TOTAL FEES:82867 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:1433627 CITIZENS MEDICAL CENTER EMPLOYEE BENEFIT 100 E COLLEGE DRIVE COLBY KS 67701 481158262 BENEFITS KS 501(C)(9) CMCI true MED-SERV INC 100 E COLLEGE DRIVE COLBY KS 67701 480994564 INACTIVE KS CMCI C 0 0 1.00000 true false false false false false false false false false false false false true false true false false false false CITIZENS MEDICAL CENTER EMPLOYEE BENEFIT PLAN M 2828812 COST