2021-10-28T12:17:34-05:00 2020-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2020-01-01 480630224 COMMUNITY MEMORIAL HEALTHCARE INC % CURTIS R HAWKINSON COMM 7855622311 708 N 18TH STREET MARYSVILLE KS 66508 Curtis Hawkinson CEO 7855622311 2021-11-15 true Curtis Hawkinson XXX-XX-XXXX Michael J Engle P00482834 8162216300 2021-11-15 3 2020 2022-09-23 18:48:47Z Curtis Hawkinson 708 N 18TH STREET MARYSVILLE KS 66508 24639746 false X WWW.CMHCARE.ORG X 1955 KS CMH IS A NOT-FOR-PROFIT MEMBERSHIP CORPORATION THAT OWNS AND OPERATES A GENERAL ACUTE CARE HOSPITAL FOR PATIENTS IN MARYSVILLE, KANSAS AND SURROUNDING AREAS. 11 9 245 9 0 0 194897 558514 22846239 23134640 213771 308058 0 635218 23254907 24636430 0 0 0 0 12267099 12941927 0 0 0 10365928 10728538 22633027 23670465 621880 965965 12946981 24403327 1990201 12231429 10956780 12171898 X THE MISSION STATEMENT OF COMMUNITY MEMORIAL HEALTHCARE, INC. IS TO EXCEL AT CARING FOR YOU. THE VISION STATEMENT OF COMMUNITY MEMORIAL HEALTHCARE, INC. IS TO EXCEED EXPECTATIONS AS A TRUSTED AND VALUED HEALTH PROVIDER. false true 5627858 5277292 THREE RURAL HEALTH CLINICS WITH A TOTAL OF 17,334 OFFICE VISITS. 5390405 9707352 ACUTE ADULT, PEDIATRIC AND INFANT INPATIENT CARE, SWING BED, LABOR AND DELIVERY AND OBSERVATION CARE. 3,593 DAYS OF CARE PROVIDED. 2509450 3160802 24 HR EMERGENCY ROOM SERVICES - 2,740 VISITS, DURABLE MEDICAL EQUIPMENT SALES, AND HOME HEALTH SERVICES - 5,008 VISITS 7011019 4989194 20538732 true true false true false false false false false true false false false false true false false true false false false false false false false false true true false false true false false false false false false false false true false false false false true true true false false true 35 0 true 245 true false false false false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true true true false KS X CURTIS R HAWKINSON 7855622311 708 N 18TH ST MARYSVILLE KS 66508 X DR BEN BRUNA PHYSICIAN 40.0 0.0 X 341192 0 34553 DR JACOB NAGELY PHYSICIAN 40.0 0.0 X 343175 0 23938 SHANE THORESON DIRECTOR 40.0 0.0 X 324937 0 34553 DR DANIELLE WURTZ PHYSICIAN 40.0 0.0 X 307293 0 41015 DR JOHN HAEFELE PHYSICIAN 40.0 0.0 X 307395 0 37899 DR CHERYL RICE PHYSICIAN 40.0 0.0 X 307005 0 34773 CURTIS R HAWKINSON CEO 40.0 0.5 X 180314 0 27512 DAN FEHR CFO 40.0 0.0 X 126250 0 18702 MARGE SCHLABACH DIRECTOR 1.0 0.0 X 0 0 0 ROBERT VOET DIRECTOR/CHAIRPERSON 2.0 0.5 X X 0 0 0 GAIL GILKERSON DIRECTOR 1.0 0.0 X 0 0 0 KEN LAMOREAUX DIRECTOR 1.0 0.0 X 0 0 0 CANDACE WRIGHT DIRECTOR/VICE CHAIRPERSON 1.0 0.0 X X 0 0 0 NICK WOLFE DIRECTOR 1.0 0.0 X 0 0 0 EDWARD POPEJOY DIRECTOR 1.0 0.0 X 0 0 0 ERIN WRIGHT DIRECTOR 1.0 0.5 X 0 0 0 MARY CAFFREY DIRECTOR 1.0 0.5 X 0 0 0 JEFF CRIST DIRECTOR 1.0 0.5 X 0 0 0 GARY HOLLE DIRECTOR 1.0 0.0 X 0 0 0 GAGE ZIERLEIN DIRECTOR 1.0 0.0 X 0 0 0 2237561 0 252945 14 false true false CRIST PIESCHL REHABILITATION SERV 535 RIDGE RD WATERVILLE KS 66548 PT, OT, ST 1071630 MARYSVILLE ANESTHESIA 1017 BROADWAY STE 7 MARYSVILLE KS 66508 CRNA 360555 CPSI 6600 WALL ST MOBILE AL 36695 COMPUTER SERVICES 307276 CHI HEALTH 7753 SOLUTION CENTER CHICAGO IL 60677 NUCLEAR MED SERVICES 167957 DAVID SAMANI MD 2222 S 16TH ST STE 240 LINCOLN NE 68502 SURGEON 212000 6 72008 485453 1053 40207 558514 Net Patient Service Revenue 621400 21729415 21729415 Dietary Income 624200 59340 59340 Other Operating Revenue 900099 1345885 1345885 23134640 178896 178896 0 0 0 0 0 132278 200 3316 132278 -3116 129162 129162 0 0 0 0 0 0 0 0 0 SALES TAX REVENUE 900099 635218 635218 635218 24636430 23134640 943276 0 0 0 0 712268 572730 139538 102314 80750 21564 9728190 7699374 2028816 287588 211120 76468 1408646 1329541 79105 702921 632308 70613 0 10579 10579 96402 96402 0 0 0 2716392 2716392 0 0 23019 22464 555 321928 205381 116547 287673 213825 73848 0 980402 926203 54199 128871 128871 0 95 95 40295 1898 38397 0 1537159 1428894 108265 245096 134500 110596 BAD DEBT EXPENSE 1000726 1000726 MEDICAL SUPPLIES 2841438 2841438 EQUIP RENTAL & MAINTENANCE 307934 303075 4859 DUES & SUBSCRIPTIONS 159375 75551 83824 31154 13691 17463 23670465 20538732 3131733 0 14813 995953 1074269 10796320 0 20640 3491321 3783214 103363 0 0 0 0 0 491769 620040 463301 824444 0 0 6167154 6322200 0 0 0 0 0 0 1140991 1040516 12946981 24403327 1905406 1938845 0 0 0 3976058 0 0 0 0 0 0 26374 2261366 0 0 58421 4055160 1990201 12231429 X 10880986 12075464 75794 96434 10956780 12171898 12946981 24403327 X 965965 342071 -92918 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 3786 false false false 3786 false SCHEDULE C, PART II-B, LINE 1F DUES PAID TO THE KANSAS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING. 1060979 47924 2000 44939 985 1060979 1060979 50831 1000 48115 1716 1060979 1060979 50661 2000 48661 1060979 1060979 27670 2000 25670 1060979 1060979 27658 3000 24658 1060979 0.92860 0.07140 false false 0 DUE TO THIRD-PARTY PAYERS 4055160 4055160 24044155 342071 66380 408451 23635704 1000726 1000726 24636430 23428258 758519 758519 22669739 1000726 1000726 23670465 SCHEDULE D, PART V, LINE 4 BOARD-DESIGNATED ASSETS LIMITED TO USE OF $985,185 INCLUDE ASSETS SET ASIDE BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS AND OPERATIONS OVER WHICH THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, SUBSEQUENTLY USE THE ASSETS FOR OTHER PURPOSES. PERMANENTLY RESTRICTED ASSETS OF $75,794 HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY CMH IN PERPETUITY WITH THE INCOME TO BE USED FOR SCHOLARSHIPS. 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 RELATED ORGANIZATION REVENUES $ 66,380 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 1,000,726 SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION EXPENSES $ 758,519 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 1,000,726 true true X true X true X 0 true true false false 160062 160062 0.00680 1516597 883450 633147 0.02690 1676659 883450 793209 0.03370 44183 26148 18035 0.00080 44183 26148 18035 0.00080 1720842 909598 811244 0.03450 false 1000726 250182 7819840 7939553 -119713 X true true 1 1 COMMUNITY MEMORIAL HOSPITAL 708 N 18TH ST MARYSVILLE KS 66508 WWW.CMHCARE.ORG H058001 X X X X COMMUNITY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C true 20 true SEE PART V, SECTION C false true X 150. 0. X X X X X true true X 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 A TARGETED SURVEY WAS SENT TO MEMBERS OF THE LOCAL SCHOOL SYSTEM, RELIGIOUS ORGANIZATIONS, GOVERNMENTAL AGENCIES, NON-PROFITS, AND OTHER PUBLIC HEALTH AGENCIES, REGIONAL MENTAL HEALTH PROVIDERS, AND BUSINESS LEADERS. SCHEDULE H, PART V, SECTION B, LINE 7A THE COMPLETE CHNA CAN BE FOUND AT: http://www.cmhcare.org/docs/Final_CHNA_Report%2C_2019.pdf SCHEDULE H, PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: http://www.cmhcare.org/docs/Implementation_Strategy_2020-2022_Final.pdf SCHEDULE H, PART V, SECTION B, LINE 11 OUR 2019 HEALTH NEEDS ASSESSMENT WAS SUMMARIZED AND PRIORITIZED INTO 6 ISSUES WHICH DID NOT VARY SIGNIFICANTLY FROM OUR PREVIOUS CHNA. ISSUES INCLUDE MENTAL HEALTH, OBESITY, AGING POPULATION, POVERTY, AND ACCESS TO CARE. TO ASSIST OUR AGING COMMUNITY MEMBERS WE CONDUCT MONTHLY HEALTH TOPIC LUNCHEONS GEARED TOWARDS OUR OLDER POPULATION. WE PROVIDE SWING-BED, HOME HEALTH, AND DME SERVICES TO ASSIST OUR POPULATION AS THEY AGE BUT HAVE INTRODUCED NO NEW PROGRAMS BASED ON THIS CHNA. FINANCIAL CONSTRAINTS AND INSURANCE OPTIONS ARE OUTSIDE OF OUR CONTROL BUT WE DO INFORM ALL PATIENTS OF OUR FINANCIAL ASSISTANCE OPTION THAT IS GRANTED TO THOSE DEMONSTRATING FINANCIAL NEEDS BASED UPON OUR ESTABLISHED CRITERIA. ADDITIONALLY, WE HAVE A RESOURCE WITHIN OUR PHARMACY THAT WORKS WITH INSURANCE AND PHARMACEUTICAL COMPANIES TO ASSIST LOW-INCOME PATIENTS OBTAIN FREE AND REDUCED MEDICATIONS WHICH IS CURRENTLY ASSISTING 7 OF OUR MOST VULNERABLE PATIENTS OBTAIN MEDICATION WORTH NEARLY $12,000 PER YEAR. WE CONDUCT A HEALTH FAIR EACH YEAR WHICH PROVIDES (NEARLY 500 PEOPLE) A COMPREHENSIVE LAB PANEL FOR A FLAT $30 FEE CASH PRICE AND ANNUAL SPORTS PHYSICALS FOR $27.50 FEE CASH PRICE TO PROVIDE LOW COST OPTIONS FOR ANNUAL DIAGNOSTIC SERVICES. TO ASSIST WITH COMMUNITY OBESITY WE PROVIDE DAILY, LOW-COST, PREPARED FOODS FOR THE RESIDENTS OF LOCAL DISABILITY HOUSING. WE DO NOT PROVIDE STRUCTURED MENTAL HEALTH SERVICES LOCALLY, BUT PARTNER WITH A REGIONAL PROVIDER TO ALLOW CONSULTATION VIA WEB-CAM AND REFERRALS TO THEIR OFFICES. WE CONTINUE TO HAVE A WIDE VARIETY OF SPECIALIST SERVICES PROVIDED ON-SITE WITH PHYSICIANS WHO DRIVE FROM MORE THAN 70 MILES AWAY TO CONDUCT WEEKLY OR MONTHLY CLINIC SCHEDULES. WE PROVIDE SPACE TO A DIALYSIS PROVIDER TO CONDUCT TREATMENTS ON-SITE RATHER THAN REQUIRING PATIENT AND CAREGIVERS TO TRAVEL 70 MILES EACH WAY SEVERAL TIMES EACH WEEK FOR TREATMENTS. SCHEDULE H, PART V, SECTION B, LINE 13a ELIGIBILITY FOR DISCOUNTED CARE FAP applications are compared against 150% of the FPL for a complete charity discount. Any applicant whose income exceeds 150% of the FPL, may be eligible for a partial charity discount. 50% of income over the FPL is compared against outstanding medical bills, those bills in excess of that calculation are eligible for a partial charity discount. Applicants with higher income may still be eligible for partial charity if the amount of their medical debt is proportionally higher than their income regardless of level. SCHEDULE H, PART V, SECTION B, LINE 16A THE FAP CAN BE FOUND AT: http://www.cmhcare.org/docs/2018_Financial_Assistance_Policy.pdf SCHEDULE H, PART V, SECTION B, LINE 16B THE FAP APPLICATION CAN BE FOUND AT: HTTP://WWW.CMHCARE.ORG/DOCS//FINANCIALASSISTANCEAPP2016.PDF SCHEDULE H, PART V, SECTION B, LINE 16C THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: http://www.cmhcare.org/docs/2018_FAP_Plain_Language.pdf 5 COMMUNITY PHYSICIANS CLINIC 1902 MAY ST MARYSVILLE KS 66508 RURAL HEALTH CLINIC BLUE RAPIDS MEDICAL CLINIC 607 LINCOLN BLUE RAPIDS KS 66411 RURAL HEALTH CLINIC COMMUNITY MEDICAL EQUIPMENT 805 BROADWAY MARYSVILLE KS 66508 DURABLE MEDICAL EQUIPMENT CMH HOME HEALTH 805 BROADWAY MARYSVILLE KS 66508 HOME HEALTH AGENCY COMMUNITY PHYSICIANS CLINIC - WYMORE 100 NORTH 7TH WYMORE NE 68466 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 3B FAP applications are compared against 150% of the FPL for a complete charity discount. Any applicant whose income exceeds 150% of the FPL, may be eligible for a partial charity discount. 50% of income over the FPL is compared against outstanding medical bills, those bills in excess of that calculation are eligible for a partial charity discount. Applicants with higher income may still be eligible for partial charity if the amount of their medical debt is proportionally higher than their income regardless of level. SCHEDULE H, PART I, LINE 3C FAP PROVIDES DISCOUNTS FOR INCOME LEVELS ABOVE 150% OF FPG. 50% OF INCOME ABOVE FPG APPLIED TO OUTSTANDING BALANCE AND DIFFERENCE IS ELIGIBLE FOR DISCOUNT IF NO OTHER ASSETS ARE IDENTIFIED. THIS ALLOWS DISCOUNTS TO APPLY IN CATASTROPHIC SITUATIONS EVEN WHEN THE PATIENT WOULD NOT OTHERWISE HAVE QUALIFIED FOR CHARITY CONSIDERATION. SCHEDULE H, PART I, LINE 7 THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY TO REPORT CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. SCHEDULE H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING SHCEDULE H, PART I, LINE 7 IS $1,000,726. SCHEDULE H, PART III, SECTION A, LINE 2 A PAYER SPECIFIC RESERVE IS CALCULATED EACH MONTH BASED ON TOTAL RECEIPTS AS A PERCENTAGE OF HISTORICAL GROSS AR. THIS IS SEPARATED INTO CONTRACT ADJUSTMENTS AND UNCOLLECTED BALANCES. AS ACCOUNTS ARE DEEMED NONCOLLECTABLE, AND IF ANY AMOUNTS ARE LATER RECEIVED, THESE ARE APPLIED TO THE RESERVE AND THE DIFFERENCE IS REPORTED AS MONTHLY BAD DEBT EXPENSE. UNDER GAAP STANDARDS IN 2020 GROSS AR, CONTRACT ADJ, AND UNCOLLECTED AMOUNTS ARE COMBINED INTO A SINGLE NET REVENUE LINE ON THE AUDIT FINANCIALS. SCHEDULE H, PART III, SECTION A, LINE 3 MARSHALL COUNTY KS HAS APPROXIMATELY 10% OF THE POPULATION BELOW THE POVERTY LINE, WHILE WE USE 150% OF THE FPG AS OUR CHARITY ELIGIBILITY. PATIENTS WITH NO INSURANCE OR HIGH DEDUCTIBLE PLANS COMPOSE A DISPROPORTIONATE AMOUNT OF OUR BAD DEBT. THE CULTURE IN OUR COMMUNITY DISCOURAGES ASKING FOR CHARITY AND MANY WHO WE ARE CONFIDENT WOULD QUALIFY WILL NOT APPLY, EVEN WHEN SUGGESTED TO THEM. BASED ON THESE FACTORS WE ESTIMATE AT LEAST 25% OF OUR BAD DEBT WOULD BE CHARITY ELIGIBLE IF THEY WOULD APPLY. SCHEDULE H, PART III, SECTION A, LINE 4 SEE PHYSICAL PAGES 15 THROUGH 17 OF THE ATTACHED FINANCIALS. PAGES ARE NUMBERED 12 THROUGH 14. GAAP REPORTING CHANGES HAVE ELIMINATED THE SEPARATE BAD DEBT LINE REPLACED BY A NET PATIENT SERVICES REVENUE LINE INCLUDING WHAT WAS PREVIOUSLY CLASSIFIED AS BAD DEBT AS A COMPONENT. SCHEDULE H, PART III, SECTION B, LINE 8 THE NUMBERS WERE DERIVED FROM THE MEDICARE COST REPORT. ALLOWABLE EXPENSES LESS THE BAD DEBT REDUCTION AND SEQUESTRATION REDUCTIONS. THESE COSTS ARE ALLOWABLE PER MEDICARE BUT WERE STATUTORILY REDUCED BY AN ARBITRARY PERCENTAGE REDUCTION TO ARRIVE AT FINAL REIMBURSEMENT. BY DEFINITION THE DIFFERENCE IS LEGITIMATE COSTS OF DOING BUSINESS THAT ARE NONETHELESS NOT PAID BY MEDICARE. SCHEDULE H, PART III, SECTION C, LINE 9B PATIENTS ARE INFORMED OF OUR FINANCIAL ASSISTANCE POLICY AT THE TIME OF SERVICES. IF REQUESTED, THEY ARE GIVEN THE APPLICATION AT TIME OF SERVICE OR PRIOR TO DISMISSAL. FINANCIAL ASSISTANCE IS OFFERED AT TIME LETTERS ARE SENT OUT REQUESTING PAYMENT AGREEMENTS AND AGAIN BEFORE ACCOUNTS ARE SENT TO COLLECTION. SCHEDULE H, PART VI, LINE 2 COMMUNITY MEMORIAL HEALTHCARE REVIEWED OUR PRIOR CHNA AND THOSE OF SURROUNDING COMMUNITIES, REVIEWED DEMOGRAPHIC INFORMATION OF HISTORICAL PATIENT ENCOUNTERS, AND UTILIZED PUBLICLY AVAILABLE CDC AND HEALTH RANKING DATA ON HEALTH FACTORS, OUTCOMES, AND MARKETSHARE; COMPARING LOCAL AND NATIONAL RESULTS. WE THEN SURVEYED KEY STAKEHOLDERS IN OUR COMMUNITY TO DETERMINE ANY NEW OR CONTINUING AREAS OF CONCERN IN OUR SPECIFIC COMMUNITY. THIS INFORMATION WAS AGGREGATED AND COMPARED TO CAPABILITIES OF CMH AND OF OTHER COMMUNITY RESOURCES AVAILABLE IN OUR AREA. SCHEDULE H, PART VI, LINE 3 THE INSURANCE OFFICE PERSONNEL EXPLAIN ELIGIBILITY TO PATIENTS AND WILL ASSIST WITH PAPERWORK. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED THROUGHOUT THE BUILDING (I.E. THE BUSINESS OFFICE, THE CLINICS, EMERGENCY DEPARTMENT) AND ON OUR WEBSITE. PATIENTS WHO ARE IDENTIFIED EITHER BEFORE SERVICES ARE RENDERED OR PRIOR TO DISCHARGE ARE CONTACTED BY THE BUSINESS OFFICE PERSONNEL TO ASSESS QUALIFICATION FOR MEDICAID OR FINANCIAL ASSISTANCE. BUSINESS OFFICE PERSONNEL ATTEMPT TO CONTACT PATIENTS VIA PHONE AND MAIL REGARDING THEIR BILL. PART OF THE CHARITY CARE PROGRAM IS TO ATTEMPT ENROLLMENT INTO THE MEDICAID PROGRAM. SCHEDULE H, PART VI, LINE 4 COMMUNITY MEMORIAL HEALTHCARE, INC. IS A NOT-FOR-PROFIT MEMBERSHIP CORPORATION WHICH OWNS AND OPERATES A GENERAL ACUTE CARE HOSPITAL, THREE RURAL HEALTH CLINICS, AND A HOME HEALTH AGENCY. 80% OF THE POPULATION WE SERVE ARE RESIDENTS OF MARSHALL COUNTY KS, 13% LIVE IN NEIGHBORING WASHINGTON COUNTY, 4% LIVE IN GAGE COUNTY NE, AND 3% LIVE ELSEWHERE DUE TO OUR PROXIMITY TO A MULTI-STATE EAST/WEST HIGHWAY. MARSHALL COUNTY HAS AN ESTIMATED POPULATION OF JUST UNDER 10,000. 50% OF OUR RESIDENTS ARE 45 YEARS OR OLDER AND 71% LIVE OUTSIDE OF CITY BOUNDARIES. HOUSEHOLD INCOME IS 20% LOWER THAN THE NATIONAL AVERAGE AND OUR POVERTY LEVEL IS 9%. THE CLOSEST TERTIARY HOSPITALS ARE MORE THAN 80 MILES IN ANY DIRECTION. WITHIN THAT GEOGRAPHIC CIRCLE ARE A HANDFUL OF ACUTE PRIMARY HOSPITALS OF SIMILAR SIZE AND CAPABILITIES TO CMH. SCHEDULE H, PART VI, LINE 5 THE COVID PANDEMIC OF 2020 FORCED US TO SUSPEND OR EVEN CANCEL SOME OF OUR ROUTINE MONTHLY AND ANNUAL ACTIVITIES TO ACCOMODATE MANDATED SOCIAL DISTANCING REQUIREMENTS AND CONCERNS FOR EXPOSURE TO OUR ELDERLY AND INFIRM CLIENTELE FOR WHICH MANY OF THESE PROGRAMS ARE INTENDED. CMH SPONSORS AN ANNUAL HEALTH FAIR WITH REDUCED COST BLOOD SCREENINGS, SERVING ABOUT 500 PEOPLE EACH YEAR. CMH ALSO PARTNERED WITH THE LOCAL PARENTS AS TEACHERS PROGRAM TO ADD A CHILDREN'S HEALTH & SAFETY FAIR TO THE EVENT. CMH HOSTS A MONTHLY EDUCATIONAL PROGRAM FOR SENIORS FEATURING INFORMATION PROVIDED BY CMH CLINICAL STAFF ON HEALTH CONCERNS RELATED TO AGING, AND COMMUNITY ENGAGEMENT OPPORTUNITIES. BREAST CANCER AWARENESS ACTIVITIES ARE HELD EACH OCTOBER FOR THE STAFF AND PUBLIC, INCLUDING AN AFTER-HOURS CONVENIENCE MAMMOGRAM CLINIC, AN IN-MEMORIAM PINK BALLOON LAUNCH, AND EDUCATIONAL SPEAKERS. CMH IS THE LEAD SPONSOR OF THE PONY EXPRESS HALF MARATHON & 5K AND ALSO SUPPORTS THE PONY EXPRESS GRAVEL DASH BICYCLE RACE BY DONATING BOTTLED WATER AND REFRESHMENTS TO PARTICIPANTS, AND STAFFING A FIRST AID TENT. CMH ALSO PROVIDES A FIRST AID TENT AND MEDICAL STAFF AT OTHER COMMUNITY EVENTS, INCLUDING BIG BLUE RIVER DAYS AND THE MARSHALL COUNTY ART COOPERATIVE'S OUTDOOR MUSIC FESTIVALS FEATURING KANSAS AND THE BEACH BOYS. THE CMH CONFERENCE ROOM IS SHARED WITH THE OUTSIDE COMMUNITY AND NON-PROFITS FOR EDUCATIONAL PURPOSES AND SEVERAL SUPPORT GROUPS USE THE CONFERENCE SPACE FOR MONTHLY MEETINGS, INCLUDING TWO GRIEF SUPPORT GROUPS, BREASTFEEDING SUPPORT, SUPPORT FOR PARKINSON'S DISEASE PATIENTS AND THEIR CARETAKERS, AND ALZHEIMER'S PATIENTS AND THEIR CARETAKERS. CMH PROVIDES DAILY MEALS AT COST TO THE LOCAL RESIDENTIAL CARE FACILITY POPULATION. THE CMH MEDICAL STAFF PARTICIPATE ON SEVERAL COMMUNITY BOARDS, SERVE AS MEDICAL DIRECTORS FOR LOCAL NURSING HOME AND HOSPICE ORGANIZATIONS, FUNCTION AS THE COUNTY PUBLIC HEALTH OFFICER, AND ALL PHYSICIAN STAFF FUNCTION AS DEPUTY COUNTY CORONERS AND SEVERAL PROVIDE MEDICAL SUPPORT AT SCHOOL ATHLETIC EVENTS. CMH STAFF MEMBERS PARTICIPATE IN VARIOUS FUNDRAISERS FOR THE COMMUNITY INCLUDING ADOPT-A-FAMILY, TOYS FOR TOTS BAKE SALES, CASUAL FOR A CAUSE JEANS DAYS, AND MORE. CMH CLINICAL AND MEDICAL STAFF OFFER A JOB SHADOWING PROGRAM PROVIDING INTERNSHIP OPPORTUNITIES FOR TEENS, UNDERGRADUATE COLLEGE STUDENTS, AND MEDICAL STUDENTS. THE HOSPITAL WORKS WITH COLLEGES AND UNIVERSITIES TO SERVE AS A TRAINING SITE FOR NURSING AND OTHER HEALTHCARE-RELATED JOBS. CMH ENTITIES ACCEPT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. CMH STAFF HOSTS A SAFE BABYSITTING CLASS FOR 5TH & 6TH GRADE STUDENTS TO LEARN CPR/INFANT CPR, GENERIC FIRST AID, DIAPER CHANGING, BOTTLE MAKING, AND OTHER BASICS. CMH HOSTS KINDERGARTNERS FROM AREA SCHOOLS TO BECOME FAMILIAR WITH THE HOSPITAL, MEET EMERGENCY ROOM AND OTHER MEDICAL STAFF, LEARN ABOUT COMMON CHILDHOOD HEALTH CONCERNS SUCH AS A BROKEN BONE, AND LEARN ABOUT CAREERS IN HEALTHCARE. CMH STAFF MEMBERS DONATE CASES OF FACIAL TISSUES TO AREA SCHOOLS TO PREVENT THE SPREAD OF GERMS THROUGHOUT THE SCHOOL YEAR. SCHEDULE H, PART VI, LINE 6 NOT APPLICABLE SCHEDULE H, PART VI, LINE 7 NOT APPLICABLE X X X false false false false false false false false false CURTIS R HAWKINSON CEO 172502 0 0 0 7812 0 8586 0 18926 0 207826 0 0 0 SHANE THORESON DIRECTOR 324451 0 0 0 486 0 15131 0 19422 0 359490 0 0 0 DR JACOB NAGELY PHYSICIAN 321182 0 0 0 21993 0 4681 0 19257 0 367113 0 0 0 DR BEN BRUNA PHYSICIAN 340706 0 0 0 486 0 15131 0 19422 0 375745 0 0 0 DR DANIELLE WURTZ PHYSICIAN 277082 0 0 0 30211 0 15131 0 25884 0 348308 0 0 0 DR JOHN HAEFELE PHYSICIAN 288538 0 0 0 18857 0 15131 0 22768 0 345294 0 0 0 DR CHERYL RICE PHYSICIAN 306464 0 0 0 541 0 15131 0 19642 0 341778 0 0 0 X 3 40207 COST false false false SCHEDULE M, PART I, COLUMN B THE AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 3 Upon the formal COVID pandemic declaration in March 2020 we delayed most elective surgeries, postponed physician wellness exams, delayed physician chronic illness maintenance appointments, used telemedicine under the emergency use authorization where possible, and generally reduced in person contact as information about COVID evolved and new procedures could be implemented. Throughout the year some of these practices were put back in place on a temporary basis as COVID infections in our area fluctuated. FORM 990, PART III, LINE 4D OUTPATIENT ANCILLARY - 729 SERVICES FORM 990, PART VI, SECTION A, LINE 6 ANY PERSON, FIRM, ASSOCIATION, CORPORATION, OR BODY POLITIC OR SUBDIVISION THEREOF, MAY BECOME A MEMBER OF THE COMMUNITY MEMORIAL HEALTHCARE, INC. BY: (A) PAYING A MEMBERSHIP FEE OF $100.00; AND (B) AGREEING TO COMPLY WITH AND BE BOUND BY THE ARTICLES OF INCORPORATION AND BYLAWS AND ANY RULES AND REGULATIONS ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A A CERTIFICATE OF MEMBERSHIP SHALL ENTITLE THE LEGAL HOLDER TO ONE VOTE UPON MATTERS SUBMITTED TO A VOTE AT A MEETING OF THE MEMBERS WHERE THE LEGAL HOLDER OF THE CERTIFICATE IS A FIRM, ASSOCIATION, CORPORATION, OR A BODY POLITIC, OR A SUBDIVISION THEREOF, THE PRESIDENT, CHIEF EXECUTIVE OFFICER OR HIS DESIGNEE SHALL CAST THE VOTE. ALL QUESTIONS REQUIRING A VOTE OF THE MEMBERS SHALL BE DECIDED BY A VOTE OF A MAJORITY OF THE MEMBERS PRESENT EXCEPT AS OTHERWISE PROVIDED BY LAW, THE ARTICLES OF INCORPORATION OR THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B 1. ANY SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF CORPORATE PROPERTY AND ASSETS OR ANY DISSOLUTION OF THE CORPORATION SHALL BE GOVERNED BY K.S.A. 17-6801 ET SEQ., REQUIRING A MAJORITY VOTE OF THE MEMBERS ENTITLED TO VOTE THEREON AT A DULY CALLED MEETING OF THE MEMBERS. 2. THE BYLAWS MAY NOT BE AMENDED, REVISED, OR REPEALED WITHOUT VOTE BY THE MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE CFO GATHERS INFORMATION TO PREPARE THE FORM 990 TAX RETURN. THIS INFORMATION IS THEN GIVEN TO AN INDEPENDENT ACCOUNTING FIRM WHO PREPARES AND REVIEWS THE FORM 990. THE INDEPENDENT ACCOUNTING FIRM THEN PROVIDES THE CFO AND FINANCE COMMITTEE A DRAFT OF THE FORM 990 FOR COMMENTS AND APPROVAL. ONCE THE CFO, FINANCE COMMITTEE, AND THE CPA FIRM APPROVE THE FORM 990, A COPY OF THE FORM 990 IS GIVEN TO THE GOVERNING BOARD MEMBERS ALONG WITH A RESPONSE TIME FOR QUESTIONS AND COMMENTS. ALL ISSUES ARE RESOLVED, A FINAL COPY OF THE FORM 990 IS SENT TO THE ENTIRE BOARD, AND THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS WILL COMPLETE A DISCLOSURE STATEMENT AT THE BEGINNING OF EACH CMH FISCAL YEAR AND PROVIDE SUCH STATEMENT TO THE CMH COMPLIANCE OFFICER. THE DISCLOSURE STATEMENT SHALL INCLUDE ANY INVESTMENT IN, OR ANY MANAGERIAL, CONSULTING, OR EMPLOYMENT RELATIONSHIP WITH, ANY OUTSIDE ENTITY THAT PROVIDES OR SEEKS TO PROVIDE GOODS OR SERVICES TO CMH, COMPETES WITH, OR INCLUDES CMH AS A JOINT VENTURE OR EQUITY INVESTOR. THE INTERESTED DIRECTOR SHOULD ABSTAIN FROM DISCUSSION AND VOTING ON THE MATTER BY TEMPORARILY LEAVING THE BOARD MEETING WHILE THE DISINTERESTED DIRECTORS DISCUSS AND VOTE. THE DISCLOSURE AND ABSTENTION SHALL BE RECORDED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE CONSISTS OF FOUR MEMBERS OF THE BOARD AND MEETS AT LEAST SEMI-ANNUALLY OR MORE OR LESS FREQUENTLY AS NECESSARY. THE COMPENSATION COMMITTEE EXISTS TO DESIGN, IMPLEMENT, AND EVALUATE COMPENSATION FOR THE CEO, PHYSICIANS AND OTHER PERSONNEL. THE COMPENSATION COMMITTEE COMPLETES MEDICAL STAFF CONTRACT NEGOTIATIONS, EVALUATES AND COMPARES PERSONNEL WAGES TO INDUSTRY BENCHMARKS, AND PERFORMS THE CEO AND BOARD EVALUATIONS. THE COMPENSATION COMMITTEE APPROVED THE INITIAL CONTRACT FOR THE CEO AND THE CEO IS SUBJECT TO THE SAME PERCENTAGE ANNUAL INCREASE AS OTHER PERSONNEL. THE DELIBERATIONS AND DECISIONS REGARDING COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER ADJUSTMENTS $-92,918 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SVC-PHYS THERAPY TOTAL FEES:724055 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SVC-ANESTHESIA TOTAL FEES:423360 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SVC-OCCP THERAPY TOTAL FEES:201842 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SVC-NUC MED TOTAL FEES:168324 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:1198811 CMH FOUNDATION 708 N 18TH ST MARYSVILLE KS 66508 320297285 SUPPORT KS 501(C)(3) 12a CMH true false false true true false false false false false false true false true true true false false false false CMH FOUNDATION C 72008 FMV CMH FOUNDATION K 837161 FMV