2021-04-12T12:55:59-05:00 2020-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-06-01 431425356 CITIZENS MEMORIAL HEALTH CARE FOUNDATION % RENEE MEYER CITI 4173266000 1500 N OAKLAND AVENUE BOLIVAR MO 65613 GARY D FULBRIGHT EXECUTIVE DIRECTOR 2021-02-25 true Brian D Todd P00422601 4178658701 2019 2022-09-23 18:48:47Z GARY D FULBRIGHT 1500 N OAKLAND AVENUE BOLIVAR MO 65613 55979741 false X WWW.CITIZENSMEMORIAL.COM X 1986 MO THE ORGANIZATION CARES FOR EVERY GENERATION THROUGH EXCEPTIONAL SERVICES BY LEADING PHYSICIANS AND A COMPASSIONATE HEALTH TEAM. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 8 4 1046 71 2976144 -16635 413345 1160495 50203551 53915836 163486 -757739 799503 236223 51579885 54554815 134269 156382 0 0 31149813 32802442 0 0 0 20142887 22968833 51426969 55927657 152916 -1372842 48571243 49851782 29538470 32217889 19032773 17633893 X TO SUPPORT AND ASSIST CITIZENS MEMORIAL HOSPITAL DISTRICT, OR ITS SUCCESSORS, OR ANY HEALTH CARE INSTITUTION WITH WHICH IT MAY MERGE. false false 30443654 34822614 PROVIDE LONG TERM CARE SERVICES TO MEDICAID RECIPIENTS (APPROXIMATELY 115,295 RESIDENT DAYS) IN SKILLED FACILITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 6089261 6910674 PROVIDE MEDICATIONS AND PHARMACISTS CONSULTATIONS TO PATIENTS OF LONG TERM CARE FACILITIES AND MEMBERS OF THE COMMUNITIES WE SERVE. DISPENSED A TOTAL OF 163,577 PRESCRIPTIONS IN FY 2020. 4029199 5199398 PROVIDE HOME CHORE SERVICES TO PEOPLE LIVING AT HOME BUT UNABLE TO COMPLETELY CARE FOR THEMSELVES. THROUGH HOMEMAKER PLUS, 12,038 SERVICE UNITS WERE PROVIDED THROUGH LIGHT HOUSEKEEPING, LAUNDRY, SHOPPING AND RESPITE CARE SERVICES. DURING THE FISCAL YEAR, HOME HEALTH VISITS TOTALED 16,088 AND HOSPICE PATIENT DAYS WERE 18,614. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 5947068 156382 6983150 46509182 true true false true false false false false true false true false false false true false false true false false false false false false true false false true true true true false false false false false false false false false false false false false false false true true false false false true 93 0 true 1046 true true true false false false false true true false false false false false false false X 8 4 true false false false false false false true true false false true true true true true true false false true false X RENEE MEYER 4173286258 1500 NORTH OAKLAND AVE BOLIVAR MO 65613 X DONALD BABB EXEC DTR END 2/20/MBR BEG 2/20 1.0 1.0 X 136174 514928 13607 D MICHEALE MEENTS BOARD MEMBER 1.0 45.0 X 0 362579 19655 GARY FULBRIGHT BRD TREAS END 2/20/EXEC DTR 20.0 25.0 X X 0 294814 13614 RENEE MEYER CHIEF FINANCIAL OFFICER 20.0 25.0 X 204164 0 9075 CINDY KAY KOLKMEYER PHARMACIST 45.0 0.0 X 168054 0 10020 BEVERLY DERRICKSON CHIEF OPERATING OFFICER 45.0 0.0 X 171488 0 5735 PATRICIA GRBCICH PHARMACIST 45.0 0.0 X 169923 0 6039 CYNTHIA HADFIELD PHARMACIST 45.0 0.0 X 163125 0 7005 WILLIAM DONNELL BOARD MEMBER/PHYSICIAN 1.0 45.0 X 3000 157074 9900 TIM FRANCKA ADMIN DIR-LTC EAST 45.0 0.0 X 159777 0 8413 CATHERINE S MOLDER BOARD SECRETARY - NONVOTING 1.0 45.0 X 0 111852 8383 DAVE STRADER BOARD PRESIDENT 1.0 1.0 X X 0 0 0 BRADLEY GREGORY BOARD VICE PRESIDENT 1.0 1.0 X X 0 0 0 JANIECA HANCOCK BOARD MBER/TREASURER BEG 11/20 1.0 1.0 X X 0 0 0 JOHN KALLENBACH BOARD MEMBER BEG 06/19 1.0 1.0 X 0 0 0 DEREK HUNTER BOARD MEMBER END 06/19 1.0 1.0 X 0 0 0 NEALE JOHNSON BOARD MEMBER END 08/19 1.0 1.0 X 0 0 0 1175705 1441247 111446 21 false true false AYA HEALTHCARE INC 5930 CORNERSTONE CT WEST STE 300 SAN DIEGO CA 92121 CONTRACT NURSING 186890 BKD LLP 910 E ST LOUIS STREET SPRINGFIELD MO 65806 CONSULTING/AUDIT/TAX 182897 BP BUILDERS 4940 S FARM RD 189 ROGERSVILLE MO 65742 CONSTRUCTION 350809 3 85996 933393 141106 5989 1160495 NET PATIENT SERVICE REVENUE 623000 51772186 48796042 2976144 RENTAL INCOME FROM AFFILIATE 531120 1857593 1857593 TRANSIT 900099 143802 143802 CAFETERIA 722514 125081 125081 OTHER REVENUE 900099 17174 17174 53915836 197040 197040 0 0 493676 130038 363638 0 363638 363638 138471 45009 112159 1026100 26312 -981091 -954779 -954779 29214 85996 156629 -127415 -127415 0 0 0 0 0 0 0 54554815 50939692 2976144 -521516 9000 9000 147382 147382 0 0 353661 353661 0 23778698 21286373 2492325 713374 535227 178147 6045998 4600049 1445949 1910711 1464230 446481 2036772 82932 1953840 19747 19747 173036 173036 0 0 0 56299 44313 11986 67789 67789 3143167 2386099 757068 368854 169015 199839 0 2706447 2327537 378910 422326 183953 238373 0 26508 11505 15003 955911 846822 109089 0 2374799 2103786 271013 227306 227306 MEDICAL SUPPLIES & DRUGS 7152914 7152914 PROVIDER TAX & FEES 2382152 2382152 BAD DEBT 659356 659356 MISCELLANEOUS 71471 52736 18735 123979 63801 60178 55927657 46509182 9418475 0 416176 1357356 1475677 2076797 14359 14359 6375477 6051705 0 0 0 0 0 0 1028558 1599529 283034 241514 71901990 38483129 34511560 33418861 2225530 2212203 1054071 1118364 0 0 983286 983286 203515 777808 48571243 49851782 5597803 6174728 0 0 201509 1679773 10230000 8110000 49978 95168 0 0 9442574 10230118 343912 0 3672694 5928102 29538470 32217889 X 17189111 15704111 1843662 1929782 19032773 17633893 48571243 49851782 X -1372842 -57261 31223 X false true X true false X 160804 460170 173204 413345 1160495 2368018 45367861 46546395 47305926 50203551 53915836 243339569 39126 29214 68340 0 0 45528665 47006565 47479130 50656022 55105545 245775927 0 0 0 245775927 816333 723496 756911 604224 690716 3591680 26013 26013 842346 723496 756911 604224 690716 3617693 0 454045 454045 908090 46371011 47730061 48690086 51714291 55796261 250301710 0.98192 0.98324 0.01445 0.01487 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1506 1506 false SCHEDULE C, PART II-B, QUESTION 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS ANNUAL DUES TO THE MISSOURI HEALTH CARE ASSOCIATION (MHCA) AND THE AMERICAN HEALTH CARE ASSOCIATION (AHCA). A PORTION OF THESE DUES ARE ALLOCABLE TO LOBBYING: $866 MHCA AND $640 AHCA. false true X 5648276 5648276 53761626 31244457 22517169 306646 178212 128434 10071279 5853090 4218189 2114163 1207370 906793 33418861 0 DUE TO RELATED PARTY 3270638 DUE TO THIRD PARTY PAYOR 1849468 CAPITAL LEASE LIABILITY 807996 5928102 55527555 -64180 7293 -56887 55584442 -1029627 -1029627 54554815 57012555 1234255 1234255 55778300 149357 149357 55927657 SCHEDULE D, PART IV, LINE 2B ESCROW ACCOUNT LIABILITY: THE FOUNDATION WAS THE TRUSTEE OF $95,168 AND $49,978, RESPECTIVELY, AT MAY 31, 2020 AND 2019, IN FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE FOUNDATION HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNTS AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: 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 AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 149,357 NET ASSETS RELEASED FROM RESTRICTIONS ( 149,357) SCHOLARSHIPS GRANTED 7,293 CHANGE IN EQUITY INVESTMENT ------------ $ 7,293 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FROM 990, PART VII, LINE 12, BUT NOT ON LINE 1: $( 130,038) RENTAL EXPENSE ( 123,126) SPECIAL EVENT EXPENSE ( 981,091) LOSS ON DISPOSAL OF PROPERTY 111,158 TEMPORARILY RESTRICTED INVESTMENT INCOME 93,470 TEMPORARILY RESTRICTED CONTRIBUTIONS ------------ $(1,209,627) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 123,126 SPECIAL EVENT EXPENSE 130,038 RENTAL EXPENSE 981,091 LOSS ON DISPOSAL OF PROPERTY ------------ $ 1,234,255 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 149,357 SCHOLARSHIPS GRANTED BURGUNDY BALL 70172 49680 20492 9357 27963 36081 39186 GOLF TOURNAMENT 45038 36316 8722 18864 8722 5430 11026 0 115210 85996 29214 18864 18079 33393 36081 50212 156629 -127415 true CITIZENS MEMORIAL HOSPITAL DISTRICT 1500 N OAKLAND AVENUE BOLIVAR MO 65613 431142176 GOVERNMENTAL 9000 SENIOR HEALTH CTR 1 VARIOUS SCHOLARSHIPS AWARDED 44 98100 CANCER PATIENT ASSISTANCE 217 49282 SCHEDULE I, PART I, LINE 2 & PART III, LINE 1 GRANT MONITORING: CITIZENS MEMORIAL HEALTH CARE FOUNDATION HAS A MEDICAL EXCELLENCE SCHOLARSHIP COMMITTEE MADE UP OF BOARD MEMBERS, EMPLOYEES AND COMMUNITY MEMBERS. APPLICATIONS FOR THE SCHOLARSHIP MUST BE SUBMITTED EACH YEAR BY MARCH 1. THE COMMITTEE DETERMINES WHO THE SCHOLARSHIPS ARE AWARDED TO. IF THE AWARDED DOES NOT ENROLL IN A MEDICAL RELATED CLASS TIMELY, THE SCHOLARSHIP IS WITHDRAWN. MANY OF THE PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL AND NOT THE INDIVIDUAL. CITIZENS MEMORIAL HEALTH CARE FOUNDATION HAS A CANCER PATIENT ASSISTANCE PROGRAM. ASSISTANCE IS AWARDED BASED ON A NEEDS ASSESSMENT PERFORMED BY CANCER CENTER COORDINATOR. AFTER ASSESSING & DETERMINING PATIENT NEEDS DETAILS ARE ESCALATED TO THE EXECUTIVE DIRECTOR AND/OR CHIEF FINANCIAL OFFICER FOR APPROVAL AND AUTHORIZATION. EXECUTIVE DIRECTOR/CFO THEN SENDS TO ACCOUNTS PAYABLE FOR PROCESSING. X true true false false false false false true false false false DONALD BABB EXEC DTR END 2/20/MBR BEG 2/20 136055 426346 119 113 0 88469 1248 1305 0 11054 137422 527287 0 0 D MICHEALE MEENTS BOARD MEMBER 0 361776 0 113 0 690 0 2800 0 16855 0 382234 0 0 WILLIAM DONNELL BOARD MEMBER/PHYSICIAN 3000 153152 0 112 0 3810 0 1570 0 8330 3000 166974 0 0 GARY FULBRIGHT BRD TREAS END 2/20/EXEC DTR 0 263604 0 113 0 31097 0 2800 0 10814 0 308428 0 0 RENEE MEYER CHIEF FINANCIAL OFFICER 186176 0 112 0 17876 0 2032 0 7043 0 213239 0 0 0 TIM FRANCKA ADMIN DIR-LTC EAST 145310 0 213 0 14254 0 1574 0 6839 0 168190 0 0 0 PATRICIA GRBCICH PHARMACIST 168209 0 56 0 1658 0 1696 0 4343 0 175962 0 0 0 CINDY KAY KOLKMEYER PHARMACIST 167626 0 56 0 372 0 1721 0 8299 0 178074 0 0 0 BEVERLY DERRICKSON CHIEF OPERATING OFFICER 170666 0 213 0 609 0 1707 0 4028 0 177223 0 0 0 CYNTHIA HADFIELD PHARMACIST 160460 0 56 0 2609 0 1639 0 5366 0 170130 0 0 0 SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES: THE ORGANIZATION PAYS ANNUAL DUES FOR A COUNTRY CLUB MEMBERSHIP FOR THE FOLLOWING INDIVIDUALS: $1,953 TIM FRANCKA $1,971 RENEE MEYER $1,971 GARY FULBRIGHT THESE AMOUNTS ARE INCLUDED IN THE EMPLOYEES W-2 AS TAXABLE WAGES. SCHEDULE J, PART I, LINE 3 CRITERIA TO ESTABLISH EXECUTIVE DIRECTOR COMPENSATION: THE FOUNDATION'S EXECUTIVE DIRECTOR, GARY FULBRIGHT, IS PAID THROUGH CITIZENS MEM HOSPITAL DISTRICT. AT THE DISTRICT LEVEL, HIS COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS USING COMPARABLE STATISTIC FOR SIMILAR POSITIONS IN THE HEALTHCARE INDUSTRY. SCHEDULE J, PART I, LINE 6A CONTINGENT COMPENSATION: IN FY 2020, THE FOUNDATION'S BOARD HAD APPROVED TO PAY OUT BONUSES AT 10% OF NET INCOME. HOWEVER, THERE WAS NO POSITIVE INCOME SO NOTHING WAS ACCRUED FOR BONUSES. THE BONUS WOULD BE ALLOCATED TO MANAGEMENT AND STAFF. NO BONUSES WERE PAID IN THE FISCAL YEAR OR CALENDAR YEAR 2019. A INDUSTRIAL DVLP AUTH OF DALLAS COUNTY 431546885 2014-02-25 5940000 REFUND PORTION OF 2014 REV BONDS false false false B INDUSTRIAL DVLP AUTH OF THE CITY OF ELDORDO SPRGS 260025115 2016-12-22 2365000 REFUND SERIES 2012 REV BONDS false false false C INDUSTRIAL DVLP AUTHORITY OF POLK COUNTY 010912805 2014-02-25 6385000 REFUND SERIES 2004 REV BONDS/ACQUI false false false D INDUSTRIAL DVLP AUTH OF DALLAS COUNTY 431546885 2018-12-28 2530000 REFUND PORTION OF 2014 BONDS false false false A 5865000 0 5940000 0 0 0 22750 0 0 0 5917250 0 2014 true false true true B 400000 0 2365000 0 0 0 25500 0 0 1252604 1086896 0 2016 true false true true C 2845000 0 6385000 0 0 0 50750 0 0 643292 5690958 0 2016 true false true true D 0 0 2530000 0 0 0 31500 0 0 0 2498500 0 2018 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true false false 0 false 0 false false B false true false false false false 0 false 0 false false C false false false true false false 0 false 0 false false D false true false false false false 0 false 0 false false A true B true C true D false SCHEDULE K, PART IV, LINE 2C, COLUMNS A & C DATE OF REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 04/24/2019 FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: THE ORGANIZATION WAS CREATED TO SUPPORT CMH HOSPITAL DISTRICT THROUGH LONG TERM CARE SERVICES SUCH AS SKILLED NURSING FACILITIES, RESIDENTIAL CARE FACILITIES, AND INDEPENDENT LIVING APARTMENTS, AND TO PROVIDE SERVICES TO THE LOCAL RURAL COMMUNITIES, SUCH AS MEDICAL EQUIPMENT AND SUPPLIES, HOME HEALTH AND HOSPICE, HEALTH TRANSPORTATION, HOMEMAKER CHORE SERVICES AND PHARMACY SERVICES. FORM 990, PART I, LINE 6 NUMBER OF VOLUNTEERS: THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS ALONG WITH OTHER AUXILIARY VOLUNTEERS WHO ASSIST WITH A VARIETY OF OPPORTUNITIES AT THE FOUNDATION'S FACILITIES. FORM 990, PART III, LINE 4A, 4B, 4C & 4D PROGRAM SERVICE ACTIVITY DETAIL: WE OFFER CARE AT EVERY STAGE OF LIFE BY PROVIDING HOME CARE, INDEPENDENT LIVING, RESIDENTIAL CARE AND SKILLED NURSING (LONG TERM CARE) FACILITIES. ALL FACILITIES OFFER RESIDENT AND FAMILY SERVICES INCLUDING SOCIAL SERVICES; DAILY ACTIVITIES AND MONTHLY OUTINGS; BEAUTY AND BARBER SERVICES; VISITS FROM COMMUNITY AND SCHOOL ORGANIZATIONS; AND LAUNDRY, CHURCH AND PHARMACY SERVICES. MONTHLY FAMILY SUPPORT GROUPS AND RESIDENT CARE PLANNING MEETING ASSIST FAMILY MEMBERS WITH EDUCATION AND RESOURCES TO ENHANCE THE QUALITY OF TIME SHARED WITH LOVED ONES. IN ADDITION, IF PATIENTS NEED A LITTLE EXTRA HELP, HOMEMAKER PLUS CAN HELP THEM REMAIN INDEPENDENT IN THEIR HOME. OUR SERVICES ARE PROVIDED ON NONDISCRIMINATORY BASIS AND CAN BENEFIT EVERYONE, FROM THE ELDERLY AND PHYSICALLY CHALLENGED TO THE HEALTHY FAMILY ON THE GO. A CARING INDIVIDUAL WILL VISIT THE HOME AND ASSIST PATIENTS ON A LONG-TERM OR ONE-TIME BASIS WITH SKILLED NURSING, REHABILITATIVE SERVICES, HOUSEKEEPING CHORES, MEAL PLANNING, GROCERY SHOPPING AND A HOST OF OTHER IMPORTANT SERVICES. OUR SERVICES PROVIDED RESIDENTIAL CARE SERVICES FOR THE ELDERLY TO APPROXIMATELY 21,963 RESIDENT DAYS. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER BUSINESS RELATIONSHIP: BOARD MEMBERS BRAD GREGORY AND JANIECA HANCOCK HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT. A FINAL DRAFT WILL BE DISCUSSED AT A MEETING OF THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY REVIEW: ANNUALLY, DURING THE MARCH BOARD OF DIRECTOR'S MEETING, THE OFFICERS AND DIRECTORS DISCLOSE ALL KNOWN CONFLICTS OF INTEREST. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST ABSTAINS FROM VOTING ON ANY MATTER RELATED TO THAT CONFLICT. IN ADDITION, ALL CORPORATE OFFICERS AND KEY EMPLOYEES ARE ANNUALLY REQUIRED TO REPORT POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW POLICY: THE BOARD OF DIRECTORS OF CITIZENS MEMORIAL HOSPITAL DISTRICT ESTABLISHES THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER/EXECUTIVE DIRECTOR BASED UPON COMPENSATION FOR SIMILAR POSITIONS IN THE HEALTHCARE INDUSTRY. A WRITTEN EMPLOYMENT AGREEMENT DETAILS THE SALARY AND BENEFITS FOR THE CEO/EXECUTIVE DIRECTOR. CITIZENS MEMORIAL HEALTH CARE FOUNDATION PAYS A PERCENTAGE OF THE TOTAL BASED UPON THE ESTIMATED PERCENTAGE OF TIME SPLIT BETWEEN THE TWO ORGANIZATIONS. THIS PERCENTAGE IS NOT ANNUALLY REVIEWED OR APPROVED BY THE CITIZENS MEMORIAL HOSPITAL DISTRICT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: MANY ORGANIZATION POLICIES ARE MADE AVAILABLE TO EMPLOYEES ON THE COMPANY INTRANET, FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST TO ALL BONDHOLDERS FOR A LEGITIMATE BUSINESS PURPOSE, AND THE AUDIT REPORT IS MADE AVAILABLE TO ALL LENDERS. IN GENERAL, DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC BY ANY OTHER MEANS. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBER RECEIVED COMPENSATION FOR THEIR DUTIES AS DIRECTORS. DONALD J BABB RECEIVED COMPENSATION FROM CITIZENS MEMORIAL HEALTH CARE FOUNDATION FOR HIS ROLE AS EXECUTIVE DIRECTOR, ENDING FEBRUARY OF 2020. WILLIAM DONNELL IS COMPENSATED BY THE ORGANIZATION FOR SERVING AS MEDICAL DIRECTOR FOR A SKILLED NURSING FACILITY AND IS COMPENSATED BY CITIZENS MEMORIAL HOSPITAL, A RELATED ORGANIZATION, AS A PHYSICIAN. D. MICHEALE MEENTS IS COMPENSATED BY CITIZENS MEMORIAL HOSPITAL, A RELATED ORGANIZATION, AS A PHYSICIAN. GARY FULBRIGHT RECEIVES COMPENSATION FROM CITIZENS MEMORIAL HOSPITAL, A RELATED ORGANIZATION, FOR HIS ROLE AS EXECUTIVE DIRECTOR, BEGINNING FEBRUARY OF 2020. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 7,293 CHANGE IN EQUITY INVESTMENTS 23,930 SCHOLARSHIPS GRANTED -------- $ 31,223 CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 431142176 HOSPITAL MO 501(C)(3) 3 NA false RIVERSIDE MANAGEMENT AND REHABILITATION 1500 N OAKLAND BOLIVAR MO 65613 431776752 MGT AND REHAB MO 501(C)(3) 10 CMH false CMH PROPERTIES 1500 N OAKLAND BOLIVAR MO 65613 463645590 RE HOLDINGS MO 501(C)(3) 12B II CMHCF true BOLIVAR MED BLDG BOLIVAR MO 65613 BOLIVAR MO 65613 262797636 MEDICAL BUILD MO CMHCF EXCLUDED FROM TAX 56912 2122270 false false 0.56250 BOLIVAR CHARITIES LLC PO BOX 117 BOLIVAR MO 65613 832879880 RENTAL PROPERTY MO CMHCF EXCLUDED FROM TAX -59941 487896 false false 0.50000 false false false true true false false true false true true false false true true true false false false