2022-05-06T09:29:16-05:00 2021-06-30 BKD LLP 1201 Walnut Suite 1700 KANSAS CITY MO 641062246 990 2020-07-01 430715842 GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION % KEN BARANSKI CFO GENE 6602581288 130 E LOCKLING PO BOX 408 BROOKFIELD MO 64628 Karla Clubine CEO 6602582222 2022-05-16 true Karla Clubine 999009999 Michael J Engle P00482834 8162216300 2022-05-16 2 2020 2022-09-23 18:48:47Z KARLA CLUBINE 130 E LOCKLING PO BOX 408 BROOKFIELD MO 64628 22575992 false X WWW.PHSMO.ORG X 1955 MO SERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE. 11 9 181 17 0 0 99441 3908936 17192133 18544270 105161 65076 82856 57710 17479591 22575992 5775 6655 0 0 8919958 8551761 0 0 0 10406626 11580588 19332359 20139004 -1852768 2436988 20809688 21656541 12328158 10738023 8481530 10918518 SERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE. false false 1801802 799 2225312 INPATIENT ACUTE CARE SERVICES WITH 171 INPATIENT ADMISSIONS. 12162166 5391 15020859 OUTPATIENT SERVICES WITH APPROXIMATELY 22,879 REGISTRATIONS. THIS INCLUDES 3,998 EMERGENCY ROOM VISITS. 1051051 466 1298099 COMMUNITY MEDICAL ASSOCIATES, ONE OF OUR 3 PROVIDER BASED RURAL HEALTH CLINICS, WITH BOTH SCHEDULED AND WALK-IN SERVICES IS OPEN 8 HOURS A DAY MONDAY THRU FRIDAY, AND ON SATURDAY 10:00 AM TO 2:00 PM. IT HAD 7,449 VISITS THIS PAST FISCAL YEAR. IT IS A LOWER COST ALTERNATIVE THAN USING THE EMERGENCY ROOM. APPLEGATE MEDICAL GROUP SAW 2,749 PATIENTS, OPEN 5 DAYS A WEEK AND MEADVILLE MEDICAL CENTER IS OPEN 3 DAYS A WEEK AND SAW 1,071 PATIENTS. APPLEGATE MEDICAL GROUP WAS CONSOLIDATED (CLOSED) INTO COMMUNITY MEDICAL ASSOCIATES AT THE END OF FEBRUARY 2021. 15015019 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 52 0 true 181 true false false false false false false false false false false false false X 11 9 true true false false true true true true true false false true true true true true true true true false MO X KEN BARANSKI CFO 6602582222 130 E LOCKLING PO BOX 408 BROOKFIELD MO 64628 X X PHIL HAMILTON CEO 40.0 0.0 X 184186 0 18839 BRIAN CASEBOLT DIRECTOR OF PHARMACY 40.0 0.0 X 141325 0 40877 IRENE PARSONSON NP 40.0 0.0 X 123230 0 42838 GARY FITE DIRECTOR OF PHYSICAL THERAPY 40.0 0.0 X 135106 0 26931 KARLA CLUBINE NURSE PRACTITIONER 40.0 0.0 X 115441 0 40341 BK KNOWLES DIRECTOR/CONTRACTED PHYSICIAN 40.0 0.0 X 146928 0 0 GARY TANDY CFO 40.0 0.0 X 121730 0 15672 PAUL WILLIAMS DO DIRECTOR 1.0 0.0 X 750 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 KAREN SYLVARA DO DIRECTOR 1.0 0.0 X 0 0 0 968696 0 185498 6 false true true BOONE HOSPITAL 1600 E BROADWAY COLUMBIA MO 65201 MANAGEMENT 266818 DOCS WHO CARE PA 800 W FRONTIER LANE OLATHE KS 66061 PHYSICIAN STAFFING 1607316 HAVE A NICE DAY ANESTHESIA ASSOCIAT 2106 WOODCREST DRIVE CHILLICOTHE MO 64601 ANESTHESIA SERVICES 194948 CHG MEDICAL STAFFING -RN NETWORK PO BOX 974088 DALLAS TX 753974088 RN STAFFING 283924 UHS PARTNERS INC DELTA LOCUM TENEN 3100 OLYMPUS BLVD SUITE 500 DALLAS TX 75324 RN STAFFING 163165 7 3898372 10564 3908936 PATIENT SERVICE REVENUE 621400 18057327 18057327 340B REVENUE 900099 486943 486943 18544270 61616 61616 0 0 6294 6294 0 6294 6294 3460 3460 3460 3460 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 14942 14942 VENDING MACHINES 900099 29472 29472 MISCELLANOUS INCOME 900099 7002 7002 51416 22575992 18544270 122786 6655 6655 0 0 0 530187 193550 336637 0 39214 27895 11319 6041055 4263945 1777110 0 85960 69898 16061 0 1370874 1068768 302106 0 484471 341565 142906 0 249195 249195 0 8842 8842 0 91784 91784 0 0 0 0 3913229 3636668 276561 13112 6442 6670 0 423823 164913 258910 0 517493 258747 258747 0 0 267042 14658 252384 0 3313 2233 1080 0 0 3068 1802 1266 0 199193 81669 117524 0 0 771595 316354 455241 0 215871 215871 0 BAD DEBT 1491569 1491569 MEDICAL SUPPLIES 2302329 2302329 MEDICAL PAYMENTS 666425 666425 DUES AND SUBSCRIPTIONS 44163 14418 29745 398542 84516 314026 20139004 15015019 5123985 0 0 0 10350771 8361652 0 0 4311204 4639142 0 0 0 0 9986 10767 154852 181374 133461 249372 24188219 16123985 5704284 8064234 0 0 0 0 0 0 0 0 145130 150000 20809688 21656541 1918200 3322464 0 0 2633914 1743687 0 0 0 0 0 0 6455457 5671872 1320587 0 0 0 12328158 10738023 X 8465624 10913305 15906 5213 8481530 10918518 20809688 21656541 2436988 X false true X false true true X false false false false false true 9093 false false false 9093 false SCHEDULE C, PART II-B, LINE 1F FOR 2021, $9,093 OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION WERE USED FOR LOBBYING/ADVOCACY EXPENDITURES. 107129 107129 14278214 9825474 4452740 9794876 6298511 3496365 8000 8000 8064234 21084423 21084423 1491569 1491569 22575992 18647435 18647435 1491569 1491569 20139004 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 $ 1,491,569 SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 1,491,569 true true X true X true X true true false true true 74842 74842 0.00400 2427239 3924918 0.00000 2502081 3924918 74842 0.00400 10911 19714 0.00000 4999 4999 0.00030 15910 19714 4999 0.00030 2517991 3944632 79841 0.00430 true 1491569 306120 8041875 7987069 54806 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 18 true false false true X SEE PART V, SECTION C X true 18 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/2021/06/2019-CHNA-Report -Final.pdf SCHEDULE H, PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.PHSMO.ORG/DOCUMENTS/CHNA%202019/ 2019CHNA%20IMPPLAN%20LINNCOMO.XLSX SCHEDULE H, PART V, SECTION B, LINE 11 MANY FACTORS DURING THE LAST THREE YEARS SINCE THE PREVIOUS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED HAVE GONE UNCHANGED AS INDICATED BY THE MOST CURRENT 2019 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 2016 CHNA INDICATED THAT A LARGE PERCENTAGE OF LINN COUNTY WORKERS ARE EMPLOYED IN THE EDUCATION, MANUFACTURING, AND RETAIL INDUSTRIES. THE 2016 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 AMOUNT 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 A 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/2021/07/PHS-fap-plain- language-summary.pdf SCHEDULE H, PART V, SECTION B, LINE 16B THE FAP APPLICATION CAN BE FOUND AT: https://www.phsmo.org/wp-content/uploads/2021/06/1_FAP-Application.pdf SCHEDULE H, PART V, SECTION B, LINE 16C THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://www.phsmo.org/wp-content/uploads/2021/07/ PHS-fap-plain-language-summary.pdf 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 $ 1,491,569. 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 $1,491,569 TIMES COST TO CHARGE RATIO FROM AUDITED FINANCIAL STATEMENTS (PAGE 29 AND 31) OR 62.19% 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 $1,491,569 X 62.192% X 33%. ESTIMATE EQUALS $306,120. 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 2) MEADVILLE MEDICAL CLINIC - LOCATED 12 MILES FROM THE HOSPITAL AND SERVES ONE OF THE SMALL COMMUNITIES WITHIN OUR SERVICE AREA WITH A NURSE PRACTITIONER. ONE RHC, APPLEGATE MEDICAL GROUP CLOSED AT THE END OF FEBRUARY, 2021. ALL OF THE PROVIDER BASED RHCS PROVIDED CLINICAL ROTATION SITES 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. NURSE PRACTITIONERS PROVIDE WELL CHILD EXAMS YEARLY AT THE LINN COUNTY HEALTH DEPT. COMMUNITY MEDICAL ASSOCIATES ASSIST WITH LOCAL EMPLOYERS IN CONDUCTING BMI, BODY MEASUREMENTS, AND HEIGHT/WEIGHT ASSESMENTS TO HELP PROMOTE A HEALTHY LIFESTYLE, AND 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 CONDUCTED AT BUSINESSES IN OUR SERVICE AREA. THE HOSPITAL HELD COMMUNITY SERVICE PROJECTS DURING THE YEAR. ONE PROJECT WAS TO COLLECT USED EYE GLASSES FOR THE NEEDY AND DONATE TO THE LIONS CLUB. FOR ANOTHER PROJECT, PERSHING DONATED CLOTHNG, BEDDING, AND TOYS TO 49 CHILDREN IN NEED FROM OUR COMMUNITY FOR AN ESTIMATED $4,563 OF DONATED ITEMS. STAFF ARE ACTIVELY INVOLVED (AND DONATE THEIR TIME)IN MONTHLY MEETING OF THE FOLLOWING GROUPS: LINN CO C-2000, 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. PERSHINGS ABILITY TO PARTICIPATE IN COMMUNITY BASED ACTIVITIES WAS SIGNIFICANTLY IMPACTED BY COVID-19 AND NOT BEING ABLE TO GATHER IN GROUPS. AS AN ORGANIZATION, WE DETERMINED IT WAS BEST PRACTICE FOR THE COMMUNITY WE SERVE TO FOLLOWING CDC GUIDELINES IN ORDER TO PREVENT THE FURTHER SPREAD OF THE VIRUS DURING THE 2021 PANDEMIC. X X false false false false false false false false false PHIL HAMILTON CEO 161292 0 22894 0 0 0 1730 0 17109 0 203025 0 BRIAN CASEBOLT DIRECTOR OF PHARMACY 141325 0 0 0 0 0 2722 0 38155 0 182202 0 KARLA CLUBINE NURSE PRACTITIONER 115441 0 0 0 0 0 2308 0 38033 0 155782 0 GARY FITE DIRECTOR OF PHYSICAL THERAPY 135106 0 0 0 0 0 2685 0 24246 0 162037 0 IRENE PARSONSON NP 123230 0 0 0 0 0 4683 0 38155 0 166068 0 FORM 990, PART VII SECTION A & SCHEDULE J, PART II THE COMPENSATION BEING REPORTED FOR PHIL HAMILTON IS PAID BY BOONE HOSPITAL CENTER, AN UNRELATED ORGANIZATION, FOR HIS SERVICES AS CEO. SEE PART V 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. $ 39,214 D. COMPENSATION E. NO FORM 990, PART VI, SECTION A, LINE 2 TOD T SYLVARA AND KAREN SYLVARA HAVE A FAMILY RELATIONSHIP. 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, LINES 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 AND 15B THE CEO'S COMPENSATION IS INCLUDED IN THE INDEPENDENT CONTRACT FEE TO BOONE HOSPITAL. BOONE HOSPITAL DETERMINES AND PAYS HIS 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.