2025-10-30T11:15:52+00:00 2024-12-31 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2024-01-01 480630224 COMMUNITY MEMORIAL HEALTHCARE INC COMM 7855622311 708 N 18TH STREET MARYSVILLE KS 66508 CURTIS HAWKINSON CEO 2025-10-30 true Michael Engle P00482834 8162216300 2024-11-15 2024 2025-03-06 01:10:19Z CURTIS HAWKINSON 708 N 18TH STREET MARYSVILLE KS 66508 27661498 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. 12 11 236 12 0 88221 44504 26557438 25924870 240614 473697 1224233 1218427 28110506 27661498 4000 0 0 15313231 15940371 0 0 13106882 13059959 28424113 29000330 -313607 -1338832 19318240 18431552 4571348 4893526 14746892 13538026 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. true true 12330262 0 12628003 OUTPATIENT ANCILLARY - 800 SERVICES 5118413 0 5242009 ACUTE ADULT, PEDIATRIC AND INFANT INPATIENT CARE, SWING BED, LABOR AND DELIVERY AND OBSERVATION CARE. 2,696 DAYS OF CARE PROVIDED. 4655174 0 4767584 THREE RURAL HEALTH CLINICS WITH A TOTAL OF 18,939 OFFICE VISITS. 3209766 0 3287274 24 HR EMERGENCY ROOM SERVICES - 3,255 VISITS, DURABLE MEDICAL EQUIPMENT SALES, AND HOME HEALTH SERVICES - 4,709 VISITS 3209766 3287274 25313615 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 false false false false false false false true true true false false true 32 0 true 236 true false false false false false false false false false false false false X 12 11 false false false false true true true true true false false false true true true true true true true false false false KS X CURTIS R HAWKINSON 7855622311 708 N 18TH ST MARYSVILLE KS 66508 FRANK POPEJOY DIRECTOR/CHAIRPERSON 2.0 0.5 X X 0 0 0 JEFF CRIST DIRECTOR/VICE CHAIR 2.0 0.0 X X 0 0 0 AUSTIN SCHOTTE DIRECTOR 1.0 0.5 X 0 0 0 CHERYL RICE PHYSICIAN/CHIEF OF MEDICAL STAFF 40.0 0.0 X 327964 0 47196 ERIN WRIGHT DIRECTOR 1.0 0.5 X 0 0 0 GAIL GILKERSON DIRECTOR 1.0 0.0 X 0 0 0 GARY HOLLE DIRECTOR 1.0 0.0 X 0 0 0 KEVIN ONEIL DIRECTOR 1.0 0.0 X 0 0 0 KURT OLSON DIRECTOR 1.0 0.0 X 0 0 0 LORI BEIKMANN DIRECTOR 1.0 0.0 X 0 0 0 MELISA TREF DIRECTOR 1.0 0.0 X 0 0 0 SANDY KELLER DIRECTOR 1.0 0.0 X 0 0 0 CURTIS R HAWKINSON CEO 40.0 0.5 X 193253 0 37802 DAN FEHR CFO 40.0 0.5 X 144972 0 34442 BEN BRUNA PHYSICIAN 40.0 0.0 X 407518 0 47177 Haley Lowell PHYSICIAN 40.0 0.0 X 351115 0 47163 JACOB NAGLEY PHYSICIAN 40.0 0.0 X 501645 0 47177 JOHN HAEFELE PHYSICIAN 40.0 0.0 X 351450 0 47199 SHANE THORESON PHYSICIAN 40.0 0.0 X 392287 0 47177 2670204 0 355333 25 false true false CRIST & PIESCHL REHABILITATION 535 RIDGE ROAD WATERVILLE KS 66548 PHYSICAL, SPEECH, OCUPATIONAL THERAPY 1034555 TRS Managed Services 5001 W Founders Way Suite L10 Rogers AR 72758 CONTRACT NURSING 713610 QUALIVIS 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 CONTRACT NURSING 614116 MARYSVILLE ANESTHESIA 1017 BROADWAY STE 7 MARYSVILLE KS 66508 CRNA 344763 CCN MOBILE SERVICES LLC 6940 VAN DORN ST SUITE 201 LINCOLN NE 68506 Cardiac Mobile Stress Testing and Echo and vascular testing 254088 7 39422 5082 44504 NET PATIENT SERVICE REVENUE 621400 24439495 24439495 DIETARY INCOME 624200 54551 54551 OTHER OPERATING REVENUE 900099 1430824 1430824 0 0 0 0 25924870 315752 315752 0 0 157945 157945 0 157945 157945 0 SALES TAX REVENUE 900099 1218427 1218427 0 0 0 0 1218427 27661498 25924870 0 1692124 X 410469 338662 71807 12625585 10115738 2509847 380549 313856 66693 1641333 1584787 56546 882435 811740 70695 55255 55255 116607 116607 4180051 4110601 69450 0 38156 37019 1137 457776 315467 142309 2056718 1993196 63522 132229 112882 19347 3303 3303 15207 747 14460 385120 183132 201988 MEDICAL SUPPLIES 3442227 3442227 BAD DEBT EXPENSE 1347707 1347707 EQUIP RENTAL & MAINTENANCE 451150 447884 3266 DUES & SUBSCRIPTIONS 340449 138018 202431 38004 19952 18052 0 29000330 25313615 3686715 0 19528 4179 4883462 4864127 4610918 4896576 0 0 0 0 732506 807646 907007 629823 0 0 0 0 6511782 6966964 0 0 1653037 262237 19318240 18431552 2304075 2805425 1712471 1712471 0 0 554802 375630 4571348 4893526 X 14671098 13462232 75794 75794 14746892 13538026 19318240 18431552 -1338832 129966 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false true 493 false true 0 true 6205 true 0 true 6698 false Schedule C, Part II-B, Line 1c GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES THE LOBBYING EXPENSES ARE THE PORTION OF HOSPITAL ASSOCIATION DUES THAT ARE RELATED TO LOBBYING. Schedule C, Part II-B, Line 1f DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 1/2 Cent County-wide sales tax to benefit CMH was up for 5-year renewal. Posted notices in local newspapers, use of yard signs, and town hall discussion/education in many towns within Marshall County. 1060978 73428 0 68502 4926 1060978 1060979 120306 3999 111382 4926 1060978 1060979 154531 -145605 4000 4926 1060979 1060979 68419 4000 59493 4926 1060979 1060979 47924 2000 44939 985 1060979 0.9286 0.0714 0.0 false false Federal Income Taxes RIGHT-OF-USE LIABILITIES 199237 DUE TO RELATED ORGANIZATION 176393 375630 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 INTENDED USES OF THE ORGANIZATIONS LISTED ENDOWMENT FUNDS BOARD-DESIGNATED ASSETS LIMITED TO USE OF $985,184 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 LIABILITY FOR 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. true true X true X true X 0 0 0 182293 0 182293 0.00629 0 0 1822595 1220858 601737 0.02075 1 0 0 0 0 0.0 1 0 2004888 1220858 784030 0.02704 0 0 45341 26658 18683 0.00064 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 45341 26658 18683 0.00064 1 0 2050229 1247516 802713 0.02768 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 false 1347707 336927 9538866 9841785 -302919 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 22 true false false true X https://www.cmhcare.org/docs/CHNA2022_CMH_MarshallCoKS_Final_121422.pdf true 23 true https://www.cmhcare.org/docs/2022_CHNA_Implementation_Plan-SIGNED.pdf false true X 150.0 0.0 X X X X true true X X X X true X https://www.cmhcare.org/docs/2022_Financial_Assistance_Policy.pdf X https://www.cmhcare.org/docs//FinancialAssistanceApp2016.pdf X https://www.cmhcare.org/docs/2022_FAP_Plain_Language.pdf 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 Facility , 1 Facility , 1 - COMMUNITY MEMORIAL HOSPITAL. 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. IN PERSON ROUNDTABLES WERE ALSO CONDUCTED WITH REPRESENTATIVES FROM EACH OF THE ABOVE ENTITIES. A CONSULTANT WAS ENGAGED TO COORDINATE THOSE CONTACTS AND TO FACILITATE THE IN-PERSON DISCUSSION GROUPS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - COMMUNITY MEMORIAL HOSPITAL. OUR MOST RECENT CHNA WAS COMPLETED AT THE END OF 2022, WITH A 2023-2025 IMPLEMENTATION PLAN ADOPTED AT THE END OF APRIL 2023. THE AREAS OF FOCUS INCLUDE MENTAL HEALTH, WORKFORCE, OBESITY, AND HOURS OF CARE. -CMH DOES NOT CURRENTLY PROVIDE MENTAL HEALTH COUNSELING SERVICES, AND DO NOT FEEL THIS IS A SERVICE WE CAN ADEQUATELY PROVIDE. WE DO PROVIDE "MENTAL HEALTH FIRST AID" COURSES ON-SITE FOR SCHOOLS, FIRST RESPONDERS, AND THE LOCAL BUSINESS COMMUNITY TO INCREASE AWARENESS AND DECREASE STIGMA. WE PARTNER WITH MENTAL HEALTH PROVIDERS IN THE SURROUNDING AREA AND HAVE TAKEN A MORE ACTIVE ROLE IN PARTNERING WITH AND SUPPORTING THOSE ORGANIZATIONS. CMH PRIMARY CARE PROVIDERS PROVIDE DIAGNOSIS, REFERRALS, AND MEDICAL TREATMENT FOR MENTAL HEALTH DISORDERS. -WORKFORCE CHALLENGES ARE NOT UNIQUE TO CMH OR TO JUST HEALTHCARE PROVIDERS NATIONWIDE, AS VIRTUALLY ALL EMPLOYERS ARE EXPERIENCING THIS CHALLENGE. WE PARTICIPATE IN SEVERAL HIGH SCHOOL AND COLLEGE JOB FAIRS AND HAVE OFFERED INCREASED RETENTION BONUS AND SCHOLARSHIP OPPORTUNITIES. WE ALSO PARTICIPATE WITH THE COUNTY ECONOMIC DEVELOPMENT TEAM TO RECRUIT WORKFORCE TO OUR COMMUNITY. -OUR ABILITY TO DIRECTLY IMPACT OBESITY IS LIMITED, BUT WE DO PROVIDE AN ANNUAL HEALTH FAIR WITH A PANEL OF LAB TESTS WHICH SAW 360 PEOPLE IN A 4 HOUR WINDOW, WE PROVIDE SPORTS PHYSICALS FOR $30 AND PROVIDE OVERALL HEALTH EDUCATION TOPICS THROUGH OUR STERLING CONNECTIONS MONTHLY MEETINGS. OUR CLINICS PROVIDE REGULAR OPPORTUNITY FOR OBESITY COUNSELING AND AT THE END OF 2023 WE PARTNERED WITH AXTEL KANSAS TO OPEN A NEW COMMUNITY FITNESS CENTER WHERE WE HAVE PROVIDERS CONDUCTING A CLINIC AT THAT LOCATION 4 DAYS EACH WEEK. -WE CONTINUE TO DISCUSS THE HOURS OF OPERATION/CARE CONCERNS IDENTIFIED IN THE CHNA BUT HAVE NOT YET DETERMINED THE BEST WAY FORWARD. WE DO PROVIDE A 24/7 HOSPITAL AND EMERGENCY ROOM, BUT LOWER LEVELS OF CARE ARE CURRENTLY LIMITED OUTSIDE OF WEEKDAY SCHEDULES. FOR SEVERAL YEARS NOW; WE PROVIDE SPACE TO CARDIOLOGISTS, ORTHOPEDIC SURGEONS, PODIATRISTS, OPHTHALMOLOGISTS, PULMONOLOGISTS, NEPRHOLOGISTS, AND OTHERS WHO DRIVE FROM UP TO 80 MILES AWAY TO SEE PATIENTS AT CMH RATHER THAN REQUIRING COMMUNITY MEMBERS TO TRAVEL FOR THOSE SERVICES. WE ALSO PROVIDE SPACE TO A DIALYSIS PROVIDER TO PROVIDE THOSE SERVICES LOCALLY INSTEAD OF REQUIRING THE LARGE BURDEN OF TRAVEL SEVERAL TIMES EACH WEEK. -THE CHNA ALSO IDENTIFIED CONCERNS WITH AVAILABILITY OF CHILDCARE AND HOUSING. THESE ARE AREAS WE CANNOT IMPACT DIRECTLY BUT HAVE PARTICIPATED IN COUNTYWIDE DISCUSSION IN THESE AREAS AS THEY IMPACT ALL EMPLOYERS AND THE HEALTH OF THE COMMUNITY AS A WHOLE. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - COMMUNITY MEMORIAL HOSPITAL. 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. 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 - AXTELL 502 North Elm Axtell KS 66403 Part B clinic during 2024 Schedule H, Part I, Line 3b FACTOR USED FOR FAMILY INCOME LIMIT FOR 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 I, Line 3c CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE 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 COSTING METHODOLOGY 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 COL (F) - BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 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 $1,347,707. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 2024 GROSS AR, CONTRACT ADJ, AND UNCOLLECTED AMOUNTS ARE COMBINED INTO A SINGLE NET REVENUE LINE ON THE AUDIT FINANCIALS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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 DO 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, Line 4 Bad debt expense - financial statement footnote SEE AUDIT NOTE 2 PATIENT AND UNINSURED PAYORS FOR DESCRIPTION OF THIS TOPIC. 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. FACILITY CONTINUES TO CALCULATE THE UNCOLLECTED AMOUNTS AFTER INSURANCE TO TRACK THE BAD DEBT COMPONENT. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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, Line 9b Collection practices for patients eligible for financial assistance 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 V, Section B, Line 16a FAP website - COMMUNITY MEMORIAL HOSPITAL: Line 16a URL: https://www.cmhcare.org/docs/2022_Financial_Assistance_Policy.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website - COMMUNITY MEMORIAL HOSPITAL: Line 16b URL: https://www.cmhcare.org/docs//FinancialAssistanceApp2016.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - COMMUNITY MEMORIAL HOSPITAL: Line 16c URL: https://www.cmhcare.org/docs/2022_FAP_Plain_Language.pdf; Schedule H, Part VI, Line 2 Needs assessment 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 Patient education of eligibility for assistance 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 ENCOURAGE ENROLLMENT INTO THE MEDICAID PROGRAM Schedule H, Part VI, Line 4 Community information 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 Promotion of community health IN 2024 WE HELD OUR ANNUAL HEALTH FAIR WITH A LABORATORY PANEL WORK-UP FOR COST WHICH SERVED 360 PEOPLE IN A 4-HOUR SATURDAY MORNING. MONTHLY EDUCATIONAL BRUNCH FOR ELDERLY PERSONS IN OUR COMMUNITY. 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. 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. 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, AMBULANCE SERVICES, 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 STAFF MEMBERS DONATE CASES OF FACIAL TISSUES TO AREA SCHOOLS TO PREVENT THE SPREAD OF GERMS THROUGHOUT THE SCHOOL YEAR. 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. Schedule H, Part VI, Line 7 State filing of community benefit report KS X X X X false false false false false false false false false CHERYL RICE PHYSICIAN/CHIEF OF MEDICAL STAFF 308295 0 0 0 19669 0 18249 0 28947 0 375160 0 0 0 CURTIS R HAWKINSON CEO 167371 0 0 0 25882 0 9040 0 28762 0 231055 0 0 0 DAN FEHR CFO 119666 0 0 0 25306 0 5747 0 28695 0 179414 0 0 0 JACOB NAGLEY PHYSICIAN 472325 0 0 0 29320 0 18249 0 28928 0 548822 0 0 0 BEN BRUNA PHYSICIAN 388100 0 0 0 19418 0 18249 0 28928 0 454695 0 0 0 SHANE THORESON PHYSICIAN 372869 0 0 0 19418 0 18249 0 28928 0 439464 0 0 0 JOHN HAEFELE PHYSICIAN 331377 0 0 0 20073 0 18249 0 28950 0 398649 0 0 0 Haley Lowell PHYSICIAN 313299 0 0 0 37816 0 18249 0 28914 0 398278 0 0 0 Form 990, Part III, Line 2 New program services A COMMUNITY HEALTH CENTER WAS OPENED IN AXTELL, KS IN JANUARY 2024 AND CMH OPENED A NEW MEDICAL CLINIC WITHIN ITS WALLS. Form 990, Part III, Line 3 Significant changes in program services OUR LONG TIME CLINIC IN WYORE, NE WAS CLOSED AT THE END OF 2023. Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 3,209,766 including grants of $ 0)(Revenue $ 3,287,274) 24 HR EMERGENCY ROOM SERVICES - 3,255 VISITS, DURABLE MEDICAL EQUIPMENT SALES, AND HOME HEALTH SERVICES - 4,709 VISITS Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body 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 ACCOUNTING 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, Line 12c Conflict of interest policy THE BOARD OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS 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 ABSTAINS 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, Line 15a Process to establish compensation of top management official 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 UNTIL/UNLESS THE COMPENSATION COMMITTEE DECIDES THE SALARY HAS FALLEN BEHIND MARKET RATES AND AMENDS THE CONTRACT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees CONTRACTED SVC-NRSG SVCS - Total Expense: 931941, Program Service Expense: 931941, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACTED SVC-PHYS THPY - Total Expense: 735627, Program Service Expense: 735627, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACTED SVC-OPER ROOM - Total Expense: 592063, Program Service Expense: 592063, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACTED SVC-ANESTH - Total Expense: 461668, Program Service Expense: 461668, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER FEES FOR SERVICES - Total Expense: 1458752, Program Service Expense: 1389302, Management and General Expenses: 69450, Fundraising Expenses: 0; CMH FOUNDATION 708 N 18TH ST MARYSVILLE KS 66508 320297285 SUPPORT KS 501(c)(3) CMH true false false true true false false false false false false true false true true true false false false false CMH FOUNDATION D 14859301 FMV CMH FOUNDATION K 837161 FMV