2016-11-09T13:58:50-06:00 2015-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2015-01-01 480630224 COMMUNITY MEMORIAL HEALTHCARE INC % CURTIS R HAWKINSON COMM 7855622311 708 N 18TH STREET MARYSVILLE KS 66508 CURTIS R HAWKINSON CEO 7855622311 2016-11-15 true Kevin Ensminger CPA P01310558 8162216300 2015 2017-02-10 21:41:12Z CURTIS R HAWKINSON 708 N 18TH STREET MARYSVILLE KS 66508 23000646 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. 13 10 252 15 0 0 127338 57750 19982886 21628194 447061 160652 0 0 20557285 21846596 2000 2000 0 0 11112606 11454335 0 0 0 9534366 10125143 20648972 21581478 -91687 265118 26730501 26373461 18022175 17738750 8708326 8634711 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 false 5431760 0 4325639 THREE RURAL HEALTH CLINICS WITH A TOTAL OF 24,639 OFFICE VISITS 1810587 0 2162819 INPATIENT AND OUTPATIENT SURGERIES AND SCOPE PROCEDURES - 1,239 PROCEDURES 2353763 0 1946537 24 HR EMERGENCY ROOM SERVICES -3,348 VISITS, DURABLE MEDICAL EQUIPMENT SALES, AND HOME HEALTH SERVICES - 6,041 VISITS 8509756 2000 13193199 18105866 true true false true false false false false false true true false false false false false false true false false false false false false false false true true false false true false false false true false false true false false false false false false true true true false false true 33 0 true 252 true false false false false false false false false false false X 13 10 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 DAVID HAMEL VICE-CHAIRPERSON/DIRECTOR 2.0 0.0 X X 0 0 0 AMOS ALSTROM DIRECTOR 1.0 0.0 X 0 0 0 DAN CAFFREY CHAIRPERSON/DIRECTOR 4.0 0.0 X X 0 0 0 MARGE SCHLABACH DIRECTOR 1.0 0.0 X 0 0 0 ROBERT VOET DIRECTOR 1.0 1.0 X 0 0 0 TRENT MOSER CHAIRPERSON/DIRECTOR 2.0 0.0 X X 0 0 0 CHAD KRAMER DIRECTOR 1.0 0.0 X 0 0 0 JERRY ZANKER DIRECTOR 1.0 0.0 X 0 0 0 LUCY PAPES DIRECTOR 1.0 1.0 X 0 0 0 BRYCE PORTER VICE-CHAIRPERSON/DIRECTOR 2.0 0.0 X X 0 0 0 DELORES STUMP DIRECTOR 1.0 1.0 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 1.0 0.0 X 0 0 0 DENNIS CASHIER DIRECTOR 1.0 0.0 X 0 0 0 JIM LADNER DIRECTOR 1.0 0.0 X 0 0 0 RAY SCULTZ DIRECTOR 1.0 0.0 X 0 0 0 DR RANDALL BROWN CHIEF OF STAFF/DIRECTOR 40.0 0.0 X 300455 0 24594 CURTIS R HAWKINSON CEO 40.0 1.0 X 154209 0 23726 BEVERLY FIFERLICK CFO 40.0 0.0 X 113746 0 11980 DR KEN DUENSING PHYSICIAN 40.0 0.0 X 213860 0 20138 DR JOHN HAEFELE DIR OF RADIOLOGY, OT, ST, REF 40.0 0.0 X 278682 0 24594 DR BEN BRUNA DIRECTOR OF QUALITY, HH, RT, S 40.0 0.0 X 366190 0 22594 DR SHANE THORESON DIRECTOR OF DIETARY, PHARMACY 40.0 0.0 X 353548 0 24594 DR JOHN M RYAN DIR OF TRAUMA, SB, ED, RM, HIM 40.0 0.0 X 242489 0 21614 2023179 0 173834 11 false true false CRIST AND PIESCHEL PT PT, OT, ST 1003886 MARYSVILLE ANESTHESIA ANESTHESIOLOGIST 422885 CPSI COMPUTER SERVICES 244870 NEBRASKA HEART INSTITUTE NUC MED SERVICES 168219 SHARED MEDICAL SRVICES MRI 125370 6 44680 5860 7210 57750 Net Patient Service Revenue 621400 20659119 20659119 Dietary Income 624200 146997 146997 Other Operating Revenue 900099 822078 822078 21628194 161745 161745 0 0 0 0 0 1151057 1900 1145977 8073 5080 -6173 -1093 -1093 0 0 0 0 21846596 21628194 160652 0 2000 2000 0 0 628710 501967 126743 144138 113777 30361 8626136 6809154 1816982 282285 208383 73902 1153344 1060226 93118 619722 560505 59217 0 6460 6460 153141 153141 0 0 0 2433483 2325537 107946 0 48626 47047 1579 274246 175812 98434 2092 2092 0 892107 833551 58556 174149 174149 0 6013 6013 622143 8768 613375 0 1711796 1657492 54304 223823 114566 109257 BAD DEBT EXPENSE 760686 760686 MEDICAL SUPPLIES 2303015 2303015 EQUIP RENTAL & MAINTENANCE 373994 361342 12652 DUES & SUBSCRIPTIONS 95743 55619 40124 43626 30178 13448 21581478 18105866 3475612 0 6287 12387 2202308 2721403 12009 0 2383645 2541470 124448 84333 0 0 0 0 460169 461563 283879 240643 27218707 12560763 15926901 14657944 5161532 5491857 0 0 0 0 0 0 169323 161861 26730501 26373461 1820206 2012432 0 0 0 0 0 0 0 0 0 0 16201969 15726318 0 0 0 0 18022175 17738750 X 8620523 8558917 12009 0 75794 75794 8708326 8634711 26730501 26373461 X 265118 -234208 -104525 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 6633 false false false 6633 false SCHEDULE C, PART II-B, LINE 1F DUES PAID TO THE KANSAS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING. 1072988 31992 2000 42001 1060979 1059062 178439 2000 162513 1072988 1134824 55511 2000 123306 5967 1059062 3126013 9249 68612 1000 2066944 1106 1134824 2859086 266927 4502 2000 0 2502 3126013 0.92856 0.07144 false false 81530 81530 20214407 6877919 13336488 6639310 5530211 1109099 283460 152633 130827 14657944 20906449 -234208 54747 -179461 21085910 760686 760686 21846596 20914533 93741 93741 20820792 760686 760686 21581478 SCHEDULE D, PART V, LINE 4 BOARD-DESIGNATED ASSETS LIMITED TO USE OF $987,149 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 $75,109 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 $ 54,747 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 760,686 SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION EXPENSES $ 93,741 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 760,686 true true true X true X true true false false 256883 256883 0.01230 1271131 831967 439164 0.02110 1528014 831967 696047 0.03340 4391 1420 2971 0.00010 4391 1420 2971 0.00010 1532405 833387 699018 0.03350 false 760686 61000 9804317 10042702 -238385 X true true 1 1 COMMUNITY MEMORIAL HEALTHCARE INC 708 N 18TH STREET MARYSVILLE KS 66508 WWW.CMHCARE.COM H058001 X X COMMUNITY MEMORIAL HEALTHCARE INC 1 false false true X X X X X X X X X 13 true false false true X WWW.CMHCARE.ORG X true 14 true WWW.CMHCARE.COM false false true X 150. 400. X X X true true X X X true X WWW.CMHCARE.ORG X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INCLUDED MEMBERS OF THE LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE, RELIGIOUS ORGANIZATIONS, LOCAL CITY AND COUNTY GOVERNMENT, PUBLIC HEALTH AGENCIES AND MEDICAL PROVIDERS. SCHEDULE H, PART V, SECTION B, LINE 11 CMH AND SEVERAL OTHER LOCAL AGENCIES CREATED A GROUP THAT IS WORKING TO REDUCE OBESITY BY INCREASING ACTIVITY AND PROMOTING BETTER FOOD CHOICES. THE THRIVE MARSHALL COUNTY PROJECT (A.K.A. THE OBESITY PROJECT) INCORPORATES SEVERAL OF THE ITEMS ON THE LIST. THIS IS A MULTI-ORGANIZATIONAL COMMITTEE THAT IS DEVELOPING WAYS FOR THE COMMUNITY TO BECOME MORE ACTIVE AND EAT HEALTHIER. THE THOUGHT IS ALSO THAT IF WE CAN GET PEOPLE PHYSICALLY HEALTHY THEIR MENTAL HEALTH WILL ALSO IMPROVE. ANOTHER ITEM THAT CAME OUT OF OUR CHNA WAS AN AFTER-HOURS/URGENT CARE CLINIC. THIS IS NOT SOMETHING WE HAVE BEEN ABLE TO ACCOMPLISH WITH OUR CURRENT MEDICAL STAFF. SCHEDULE H, PART V, SECTION B, LINE 22D WE USED THE AVERAGE RATE FOR ALL PAYORS (EXCLUDING SELF-PAY) BROKEN OUT BETWEEN IP, OP, AND CLINIC WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. 6 Community Physicians Clinic 1902 MAY ST MARYSVILLE KS 66508 RURAL HEALTH CLINIC Marysville Clinic 808 N 19TH 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 3C SEE PART VI, SECTION B, LINE 13 FOR THE LIST OF FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNTED CARE. 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 SCHEDULE H, PART I, LINE 7 IS $760,686. SCHEDULE H, PART III, SECTION A, LINE 2 WE TAKE A PORTION OF THE MEDICARE, MEDICAID, AND COMMERCIAL ACCOUNTS IN THE A/R WE FEEL WILL BE PATIENT RESPONSIBILITY AFTER INSURANCE PAYMENTS AND CONTRACTUAL ADJUSTMENTS HAVE BEEN APPLIED. WE ADD THIS AMOUNT TO THE UNINSURED ACCOUNTS. WE APPLY A PERCENTAGE TO EACH AGING CATEGORY BALANCE BASED ON EXPERIENCE, ECONOMIC OUTLOOK, AND OUR INDEPENDENT AUDITOR'S INPUT TO ARRIVE AT THE AMOUNT WE FEEL IS UNCOLLECTIBLE. THIS FIGURE IS ADJUSTED BY BALANCES SENT TO COLLECTION, BALANCES PAID THROUGH COLLECTION, AND BALANCES RETURNED FROM COLLECTION AS UNCOLLECTIBLE, WHICH ARE THEN DIRECTLY WRITTEN OFF TO BAD DEBT EXPENSE ALONG WITH BANKRUPTCIES. SCHEDULE H, PART III, SECTION C, LINE 3 WE HAVE SEEN APPROXIMATELY 8% OF THE ACCOUNTS SENT TO COLLECTIONS RETURNED FROM THE AGENCY WITH THE IDENTIFICATION THAT THE PATIENT HAS NO ASSETS. SCHEDULE H, PART III, SECTION A, LINE 4 SEE NOTE 1 ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL IS DUE TO SEQUESTRATION. THE COSTING METHODOLOGY USED TO DETERMINE THESE AMOUNTS CAME FROM THE ORGANIZATION'S MEDICARE COST REPORT. THE SHORTFALL FROM LINE SEVEN REPRESENTS LEGITIMATE EXPENSES/COSTS INCURRED BY THE HOSPITAL TO SERVE MEDICARE PATIENTS. THESE ARE COSTS SIMILAR TO CHARITY CARE IN THAT THE HOSPITAL DID NOT COLLECT THESE FUNDS. AS SUCH THERE IS A DIRECT BENEFIT DERIVED FOR THE COMMUNITY IN THAT THE HOSPITAL WAS ABLE TO PROVIDE CARE FOR THESE PATIENTS. THEREFORE THE ENTIRE SHORTFALL SHOULD BE COUNTED AS A COMMUNITY BENEFIT. 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 IN ADDITION TO CONDUCTING ITS OWN RESEARCH, CMH COLLABORATES THROUGH THE INTERAGENCY COOPERATIVE COUNCIL (A COLLECTION OF COUNTY WIDE NOT-FOR-PROFIT AGENCIES) TO ASSESS THE NEEDS OF MARSHALL COUNTY. 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). 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 THAT OWNS AND OPERATES A GENERAL ACUTE CARE HOSPITAL. CMH PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY, CLINIC AND HOME HEALTH SERVICES TO MARYSVILLE, BLUE RAPIDS, BEATTIE, HANOVER, WATERVILLE, WASHINGTON, FRANKFORT, AXTELL AND HOME KANSAS. THESE AREAS ARE ALSO SERVED BY HANOVER HOSPITAL (HANOVER, KS), NEMAHA VALLEY COMMUNITY HOSPITAL (SENECA, KS), MERCY REGIONAL HEALTH CENTER (MANHATTAN, KS), BRYAN LGH HEALTH SYSTEM (LINCOLN, NE), SAINT ELIZABETH REGIONAL MEDICAL CENTER (LINCOLN, NE), SAINT FRANCIS HEALTH CENTER (TOPEKA, KS), STORMONT-VAIL HEALTHCARE (TOPEKA, KS). AS OF THE 2010 CENSUS, THE CITY OF MARYSVILLE HAD A TOTAL POPULATION OF 3,294, WHILE MARSHALL COUNTY POPULATION WAS 10,117. BELOW ARE ADDITIONAL MARSHALL COUNTY DEMOGRAPHICS: 22% OF THE POPULATION IS OVER 65 YEARS OF AGE. 29% OF THE POPULATION IS BETWEEN 45-64 YEARS OF AGE. 27% OF THE POPULATION IS BETWEEN THE AGES OF 18-44. MEDIAN HOUSEHOLD INCOME FOR MARSHALL COUNTY WAS $44,615 FOR 2014. UNEMPLOYMENT IN MARSHALL COUNTY IS 5.2%. 12.87% OF THE POPULATION ARE LIVING BELOW THE POVERTY LEVEL. THE HOSPITAL IS THE THIRD LARGEST EMPLOYER IN THE COUNTY. SCHEDULE H, PART VI, LINE 5 COMMUNITY MEMORIAL HEALTHCARE SPONSORS AN ANNUAL HEALTH FAIR FOR THE GENERAL PUBLIC, DRAWING BLOOD AND RUNNING DIAGNOSTIC TESTS. THE HOSPITAL PUBLISHES A MONTHLY ARTICLE IN A LOCAL PAPER ADDRESSING CURRENT HEALTH TOPICS, PARTICIPATES IN THE COMMUNITY BABY BOOMER EXPO PROVIDING HEALTH EDUCATION, AND HOSTS A MONTHLY LUNCHEON FOR THE OVER-55 POPULATION WITH SPEAKERS ON CURRENT HEALTH TOPICS. X X X false false false false false false false false false CURTIS R HAWKINSON CEO 149459 0 0 0 4750 0 7344 0 16382 0 177935 0 0 0 DR KEN DUENSING PHYSICIAN 211484 0 0 0 2376 0 11447 0 8691 0 233998 0 0 0 DR JOHN HAEFELE DIR OF RADIOLOGY, OT, ST, REF 265122 0 0 0 13560 0 14403 0 10191 0 303276 0 0 0 DR RANDALL BROWN CHIEF OF STAFF/DIRECTOR 280079 0 0 0 20376 0 14403 0 10191 0 325049 0 0 0 DR BEN BRUNA DIRECTOR OF QUALITY, HH, RT, S 333042 0 0 0 33148 0 14403 0 8191 0 388784 0 0 0 DR SHANE THORESON DIRECTOR OF DIETARY, PHARMACY 337660 0 0 0 15888 0 14403 0 10191 0 378142 0 0 0 DR JOHN M RYAN DIR OF TRAUMA, SB, ED, RM, HIM 239784 0 0 0 2705 0 13423 0 8191 0 264103 0 0 0 DR BEN BRUNA HCE/PHYSICIAN MD - TUITION X 66000 36362 false true true DR JOSEPH HAWKINS HCE/PHYSICIAN MD - TUITION X 64702 9798 false true true DR SHANE THORESON HCE/PHYSICIAN MD - TUITION X 69284 38172 false true true 84332 SEE SCHEDULE L PART V SCHEDULE L, PART IV TRANSACTION 1 (A) KELLY MOSER (B) KELLY MOSER IS THE SPOUSE OF TRENT MOSER, A DIRECTOR AND OFFICER OF COMMUNITY MEMORIAL HEALTHCARE, INC. (C) $19,020 (D) KELLY MOSER IS AN EMPLOYEE OF COMMUNITY MEMORIAL HEALTHCARE, INC. (E) NO TRANSACTION 2 (A) CYNTHIA VOET (B) CYNTHIA VOET IS THE SPOUSE OF ROBERT VOET, A DIRECTOR OF COMMUNITY MEMORIAL HEALTHCARE, INC. (C) $57,489 (D) CYNTHIA VOET IS AN EMPLOYEE OF COMMUNITY MEMORIAL HEALTHCARE, INC. (E) NO TRANSACTION 3 (A) SHANNON BRUNA (B) SHANNON BRUNA IS THE DAUGHTER OF ROBERT VOET, A DIRECTOR OF COMMUNITY MEMORIAL HEALTHCARE, INC. (C) $42,569 (D) SHANNON BRUNA IS AN EMPLOYEE OF COMMUNITY MEMORIAL HEALTHCARE, INC. (E) NO TRANSACTION 4 (A) ALISON VOET (B) ALISON VOET IS THE DAUGHTER OF ROBERT VOET, A DIRECTOR OF COMMUNITY MEMORIAL HEALTHCARE, INC. (C) $25,060 (D) ALLISON VOET IS AN EMPLOYEE OF COMMUNITY MEMORIAL HEALTHCARE, INC. (E) NO FORM 990, PART III, LINE 4D INPATIENT & OUTPATIENT CARDIO PULMONARY - 7,435 SERVICES RADIOLOGICAL SERVICES - 9,221 EXAMS LAB - 244,860 TESTS PT, OT, ST SERVICES - 46,931 MODALITIES REFERRAL VISITS - 4,583 VISITS CENTRAL SUPPLY, DIETARY 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, LINES 15A & 15B THE COMPENSATION COMMITTEE EXISTS TO DESIGN, IMPLEMENT, AND EVALUATE BONUS CRITERIA FOR THE CEO'S COMPENSATION. FURTHERMORE, 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 CONSISTS OF FOUR MEMBERS OF THE BOARD AND THE COMMITTEE MEETS AT LEAST SEMI-ANNUALLY OR MORE FREQUENTLY AS NECESSARY. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS LAST MET AND REVIEWED THE CEO COMPENSATION 10/21/14. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS LAST MET AND REVIEWED THE PHYSICIAN COMPENSATION IN OCTOBER 2015. 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 NET ASSET TRANSFER TO CMH FOUNDATION $ ( 104,525) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SVC-PHYSICAL THERAPY TOTAL FEES:929038 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SVC-ANESTHESIOLOGY TOTAL FEES:497891 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SVC-NUC MED TOTAL FEES:165798 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:840756 CMH FOUNDATION 708 N 18TH STREET MARYSVILLE KS 66508 320297285 SUPPORT KS 501(C)(3) 11A CMH true false false true false false false false false false false false false false true true false false false false