2021-05-12T08:51:43-05:00 2020-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2019-07-01 430715842 GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION % GARY TANDY CFO GENE 6602581288 130 E LOCKLING PO BOX 408 BROOKFIELD MO 64628 PHIL HAMILTON CEO 6602582222 2021-05-15 true Michael J Engle P00482834 8162216300 2019 2022-09-23 18:48:47Z PHIL HAMILTON 130 E LOCKLING PO BOX 408 BROOKFIELD MO 64628 17479591 false X WWW.PHSMO.ORG/ X 1955 MO SERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE. 10 7 182 16 0 10724 99441 17761653 17192133 124089 105161 79116 82856 17975582 17479591 8628 5775 0 0 9072281 8919958 0 0 0 10098198 10406626 19179107 19332359 -1203525 -1852768 17680233 20809688 7345935 12328158 10334298 8481530 SERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE. false false 1797757 722 2149017 INPATIENT ACUTE CARE SERVICES WITH 177 INPATIENT ADMISSIONS. 11289916 4533 13495824 OUTPATIENT SERVICES WITH APPROXIMATELY 16,017 REGISTRATIONS. THIS INCLUDES 4,168 EMERGENCY ROOM VISITS. 1294385 520 1547292 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 6,329 VISITS THIS PAST FISCAL YEAR. IT IS A LOWER COST ALTERNATIVE THAN USING THE EMERGENCY ROOM. APPLEGATE MEDICAL GROUP SAW 6,648 PATIENTS, OPEN 5 DAYS A WEEK AND MEADVILLE MEDICAL CENTER IS OPEN 3 DAYS A WEEK AND SAW 1,026 PATIENTS. 14382058 true true 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 true false true false false false false false false true false false false false false false false false false false true 54 0 true 182 true false false false false false false false false false false false false X 10 7 true true false false true true true true true false false false true true true true true true false false MO X GARY TANDY CFO 6602582222 130 E LOCKLING PO BOX 408 BROOKFIELD MO 64628 X KENDAL GENO EMPLOYED PHYSICIAN 40.0 0.0 X 281729 0 35978 PHIL HAMILTON CEO 40.0 0.0 X 180707 0 20220 SISENARDO GALVEZ EMPLOYED PHYSICIAN 36.0 0.0 X 188676 0 1353 BRIAN CASEBOLT DIRECTOR OF PHARMACY 40.0 0.0 X 130838 0 34017 GARY FITE DIRECTOR OF PHYSICAL THERAPY 40.0 0.0 X 130592 0 23182 KARLA CLUBINE NURSE PRACTITIONER 40.0 0.0 X 110068 0 33451 GARY TANDY CFO 40.0 0.0 X 118002 0 14031 PAUL WILLIAMS DO DIRECTOR 1.0 0.0 X 830 0 0 KAREN SYLVARA DO DIRECTOR 1.0 0.0 X 450 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 TOD T SYLVARA DO DIRECTOR/CONTRACTED PHYSICIAN 1.51 0.0 X 0 0 0 1141892 0 162232 6 false true false BKD LLP 1201 WALNUT STE 1700 KANSAS CITY MO 641062246 AUDIT AND CONSULTING 121959 BOONE HOSPITAL 1600 E BROADWAY COLUMBIA MO 65201 MANAGEMENT 272185 DOCS WHO CARE PA 800 W FRONTIER LANE OLATHE KS 66061 PHYSICIAN STAFFING 1553818 HAVE A NICE DAY ANESTHESIA ASSOCIAT 2106 WOODCREST DRIVE CHILLICOTHE MO 64601 ANESTHESIA SERVICES 182494 AMN WORKFORCE SOLUTIONS LLC PO BOX 744869 ATLANTA GA 303740490 STAFFING COMPANY 142923 5 84800 14641 99441 NET PATIENT SERVICE REVENUE 621400 16590877 16590877 340B REVENUE 900099 601256 601256 17192133 96925 96925 0 0 11610 11610 0 11610 11610 8236 8236 8236 8236 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 23044 23044 VENDING MACHINES 900099 19671 19671 MISCELLANEOUS INCOME 900099 28531 28531 71246 17479591 17192133 188017 5775 5775 0 0 0 346078 7475 338603 40768 28393 12375 6523756 4912676 1611080 91004 75932 15072 1432043 1147684 284359 486309 352329 133980 275066 275066 20674 20674 94537 94537 0 0 0 3551098 3190875 360223 0 12528 2514 10014 355795 146197 209598 662553 331277 331276 0 287285 16058 271227 4147 2908 1239 0 7255 6208 1047 207743 85175 122568 0 620825 254538 366287 153364 153364 BAD DEBT 1932123 1932123 MEDICAL SUPPLIES 1270629 1270629 MEDICAID PAYMENTS 544788 544788 DUES AND SUBSCRIPTIONS 47339 16064 31275 358877 52440 306437 19332359 14382058 4950301 0 0 0 0 6543193 10350771 0 0 4324675 4311204 0 0 0 0 13354 9986 174260 154852 255359 133461 21314947 15610663 6230131 5704284 0 0 0 0 0 0 0 0 139261 145130 17680233 20809688 1670740 1918200 0 0 0 0 0 0 0 0 0 0 5675195 9089371 0 1320587 0 0 7345935 12328158 X 10333034 8465624 1264 15906 10334298 8481530 17680233 20809688 -1852768 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7818 false false false 7818 false SCHEDULE C, PART II-B, LINE 1F FOR 2020, $7,818 OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION WERE USED FOR LOBBYING/ADVOCACY EXPENDITURES. 107129 107129 13765223 9521815 4243408 7442595 6088848 1353747 5704284 15547468 15547468 1932123 1932123 17479591 17400236 17400236 1932123 1932123 19332359 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 $ 1,932,123 SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 1,932,123 true true X true X true X true true false true true 66658 66658 0.00380 2553742 3233317 2620400 3233317 66658 0.00380 7300 9585 5099 5099 0.00030 12399 9585 5099 0.00030 2632799 3242902 71757 0.00410 true 1932123 385690 7620453 7567513 52940 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: HTTP://WWW.PHSMO.ORG/DOCUMENTS/CHNA%202019/PERSHING%202019%20CHNA%20REPORT %20FINAL.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.X LSX 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: http://www.phsmo.org/FAP_Files/2019%20Fap/Pershing%20Health%20System%20FAP %20fy%202020.docx SCHEDULE H, PART V, SECTION B, LINE 16B THE FAP APPLICATION CAN BE FOUND AT: http://www.phsmo.org/FAP_Files/FAP07012016/070616%20rev/PHS%20FAP%20applic ation%20final%20version.xlsx SCHEDULE H, PART V, SECTION B, LINE 16C THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: http://www.phsmo.org/FAP_Files/FAP07012016/070616%20rev/PHS%20fap%20plain% 20lang%20sum,%20hosp%20&%20clinics%20final%20version.docx 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 $ 1,932,123. 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 USED THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 TIMES NET BAD DEBTS TIMES COMPUTED 30% COLLECTION SUPERVISOR'S ESTIMATE OF BAD DEBTS THAT COULD BE CHARITY IF THE PERSONS WOULD ONLY FILL OUT OUR FORMS. THIS = $1,932,123 (BAD DEBT NET OF RECOVERIES) X 30% (OR APPROXIMATELY $579,637/YEAR) ESTIMATE X 66.54% COST TO CHARGE RATIO = $385,690 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 3 (THREE) PROVIDER BASED RHCS: 1) APPLEGATE MEDICAL GROUP-LOCATED ACROSS THE STREET FROM THE HOSPITAL, 2) COMMUNITY MEDICAL ASSOCIATES, LOCATED WITHIN THE HOSPITAL AND OPEN 6 DAYS A WEEK AND 3) MEADVILLE MEDICAL CLINIC, 12 MILES FROM THE HOSPITAL, SERVES ONE OF THE SMALL COMMUNITIES WITHIN OUR SERVICE AREA WITH A 3 DAY A WEEK NURSE PRACTITIONER. ALL OF THE PROVIDER BASED RHC PROVIDED CLINICAL ROTATION SITE 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 ALSO ASSISTS WITH LOCAL EMPLOYERS IN CONDUCTING BMI, BODY MEASUREMENTS, AND HEIGHT/WEIGHT ASSESMENTS TO HELP PROMOTE A HEALTHY LIFESTYLE, IN TURN, EMPLOYEES RECEIVE A REDUCTION IN INSURANCE PREMIUMS. HOSPITAL WEEK, HELD ANNUALLY, ARE DONE AT THE LOCAL (BROOKFIELD) YMCA AND AT MARCELINE BETHANY BAPTIST CHURCH: -PROCESSED BLOOD DRAWS; PHYSICAL AND OCCUPATIONAL THERAPY HEALTH BOOTH; BLOOD PRESSURE AND PULSE OXIMETRY TESTS ARE PERFORMED, PROMOTED WEB VIEW ACCESS FOR PATIENTS FROM OUR 3 RURAL HEALTH CLINICS. PROVIDED ADVANCED DIRECTIVES INFORMATIONAL PACKETS. OTHER HEALTH FAIRS AND EVENTS: -CONDUCTED FAIRS AT OTHER BUSINESSES IN OUR SERVICE AREA. THE HOSPITAL HELD TWO COMMUNITY SERVICES PROJECTS DURING THE YEAR. THE FIRST PROJECT WAS TO COLLECT USED EYE GLASSES FOR THE NEEDY AND DONATE TO THE LIONS CLUB. PERSHING DONATED FOOD TO THE LOCAL FOOD PANTRY. STAFF ACTIVELY INVOLVED (AND DONATE THEIR TIME) IN MONTHLY MEETING OF THE FOLLOWING GROUPS: LINN COUNTY AREA HEALTH AND WELLBEING TASKFORCE, LINN CO C-2000, AND COMMUNITY CONNECTIONS. THE FOCUS OF ALL 3 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 BASE ACTIVITIES WAS SIGNIFICANTLY IMPACTED BY COVID-19 AND NOT BEING ABLE TO GATHER IN GROUPS. AS AN ORGANIZATION, WE FELT THAT 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 2020 PANDEMIC. false City of Brookfield Missouri 207 North Main Street Brookfield MO 64628 436000405 Government 5099 Brookfield Area Growth Partnership 1 Schedule I, Part I, Line 2 THE ORGANIZATION DOES NOT MONITOR THE USE OF THE CONTRIBUTION AS THE REQUESTED FUNDS ARE FOR STATED OPERATING COSTS, SUCH AS USAGE OF THE ORGANIZATION, STAFF PAYROLL, ETC. X X false false false false false false false false false PHIL HAMILTON CEO 159547 0 21160 0 0 0 3146 0 17074 0 200927 0 0 0 BRIAN CASEBOLT DIRECTOR OF PHARMACY 130838 0 0 0 0 0 2722 0 31295 0 164855 0 0 0 KENDAL GENO EMPLOYED PHYSICIAN 281729 0 0 0 0 0 4683 0 31295 0 317707 0 0 0 SISENARDO GALVEZ EMPLOYED PHYSICIAN 188676 0 0 0 0 0 0 0 1353 0 190029 0 0 0 GARY FITE DIRECTOR OF PHYSICAL THERAPY 130592 0 0 0 0 0 2685 0 20497 0 153774 0 0 0 FORM 990, 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. 0 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. $ 40,768 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, LINE 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. THE FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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 B, LINE 15A & 15B THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1853694 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:1697404