2026-01-29T12:42:44+00:00 2025-06-30 440160260 Forvis Mazars LLP 1201 Walnut Street Suite 1700 Kansas City MO 641062246 990 2024-07-01 440537826 Community Hospital Association Inc COMM 6606862320 26136 US 59 Fairfax MO 64446 Julie Jones CEO 6606862320 2026-01-29 true Michael Engle P00482834 8162216300 2026-01-29 2024 2025-03-06 01:10:19Z JULIE JONES 26136 US 59 Fairfax MO 64446 27895451 false X WWW.FAIRFAXMED.COM X 1976 MO TO PROVIDE QUALITY ACUTE CARE, EMERGENCY PRIMARY CARE AND OUTPATIENT SERVICES. 11 10 185 80 0 36242 126628 25879355 27412856 67182 33238 72978 322729 26055757 27895451 0 0 0 0 12501173 13874722 0 0 11648 14221054 14840896 26722227 28715618 -666470 -820167 10915243 9461747 10730084 9540113 185159 -78366 TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR THE COMMUNITIES WE SERVE. false false 24100339 0 27412856 COMMUNITY HOSPITAL-FAIRFAX (CH-F) PRIDES ITSELF IN PROVIDING ACCESS TO HEALTHCARE TO A REGION WHERE HEALTH SERVICES ARE SPARSE. WITH THE LOCAL PHYSICIAN RATIO THREE TIMES THE NATIONAL BENCHMARK. EMERGENCY SERVICES WOULD OTHERWISE BE 30 MILES OR MORE FROM THE POPULATION CENTERS. COMMUNITY HOSPITAL-FAIRFAX PROVIDES THE NORTHWEST MISSOURI AREA POPULATION OF 11,000 IN HOLT, ATCHISON AND WESTERN NODAWAY COUNTY WITH A 24-HOUR EMERGENCY ROOM, ACUTE CARE (INCLUDING OBSTETRICS) AND POST-ACUTE CARE SERVICES, PRIMARY CARE SERVICES, MANY OUTPATIENT SERVICES, SURGERY, ANCILLARY SERVICES, AND A FULL-SERVICE THERAPY DEPARTMENT. IN ADDITION TO SERVING THE HEALTH NEEDS OF A POPULATION THAT WOULD OTHERWISE NOT HAVE ACCESS TO CARE, COMMUNITY HOSPITAL-FAIRFAX CONTINUES TO INVEST IN A HEALTHY FUTURE FOR THE COMMUNITY. CH-F TRIES TO FOCUS ON THE GREATEST HEALTH NEEDS IN THE COMMUNITY WHICH TEND TO BE CHRONIC DISEASES SUCH AS HEART DISEASE, COPD AND ASTHMA, STROKE AND DIABETES. RISK FACTORS FOR THESE DISEASES ARE OBESITY, CIGARETTE SMOKING AND PHYSICAL INACTIVITY. NEARLY 30% OF THE CH-F SERVICE POPULATION IS OBESE, 35% REPORT PHYSICAL INACTIVITY AND 22% SMOKE. TO EDUCATE AND PROVIDE SERVICES TO A COMMUNITY WHERE THESE CHRONIC CONDITIONS PREVAIL, THE FOLLOWING ACTIVITIES ARE PART OF CH-F'S RESPONSE TO HEALTH NEEDS OF THE COMMUNITY: CH-F LAUNCHED A CHRONIC CARE MANAGEMENT PROGRAM BY DECEMBER 1, 2019. COMMUNITY HOSPITAL-FAIRFAX HIRED A NURSE TO BEGIN A CHRONIC CARE PROGRAM. FOR ALL OTHER ACTIVITIES AND STRATEGIES RELATED TO THE CHNA, SEE THE REPORT AND IMPLEMENTATION STRATEGY AT WWW.FAIRFAXMED.COM/CHHA. 24100339 true true false true false false false false false false true false false true 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 false false true true true false false true 6 0 true 185 true false false false false false false false false false false false false X 11 10 false false false false false false false true true false false false true true true true true true true true false false X JON DAVIS 6606862320 26136 US HIGHWAY 59 PO BOX 107 FAIRFAX MO 64446 AMY RYAN DIRECTOR/VICE-PRESIDENT 1.0 0.0 X X 0 0 0 REBEKAH GEBHARDS SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 VIRGINIA LOW DIRECTOR 1.0 1.0 X X 0 0 0 COREY HERRON DIRECTOR 1.0 0.0 X 0 0 0 GARRETT WOOD DIRECTOR 1.0 0.0 X 0 0 0 GLENN SCOTT DIRECTOR 1.0 0.0 X 0 0 0 RICHARD ARON BURKE MD DIRECTOR/CHIEF MEDICAL OFFICER 40.0 0.0 X 716012 0 46820 SUSAN NOLAND DIRECTOR 1.0 0.0 X 0 0 0 TERESA SMITH DIRECTOR 1.0 0.0 X 0 0 0 TIM UMBARGER CHAIRMAN OF THE BOARD 1.0 0.0 X 0 0 0 TOM BULLOCK DIRECTOR 1.0 0.0 X 0 0 0 JON DAVIS CFO 40.0 1.0 X 172473 0 20052 JULIE JONES CEO 40.0 1.0 X 290004 0 32960 DR DUSTIN CARPENTER MD PHYSICIAN 40.0 0.0 X 274094 0 25159 DR MINA MASSEY DOCTOR 40.0 0.0 X 268531 0 16320 KELLY OSBORN CRNA 40.0 0.0 X 219560 0 39320 MELISSA WILLIAMSON APRN MANAGER 40.0 0.0 X 152363 0 16147 RENEE KREIFELS CRNA 40.0 0.0 X 213560 0 37148 2306597 0 233926 22 false true false INSPIRE REHABILITATION LLC 8181 ARISTA PLACE SUITE 100 BROOMFIELD CO 80021 REHAB SERVICES 1660064 FOCUSONE SOLUTIONS PO BOX 850861 MINNEAPOLIS MN 55485 STAFFING SERVICES 746208 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75373 SENIOR MENTAL HEALTH 712314 TRUBRIDGE 54 St Emanuel Street Mobile AL 36602 EHR SYSTEM 574542 DOCS WHO CARE 800 W FRONTIER LN OLATHE KS 66061 STAFFING SERVICES 224254 10 0 0 0 0 11300 115328 0 126628 NET PATIENT SERVICE REVENUE 621990 25112423 25112423 0 0 340B REVENUE 621990 2300433 2300433 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27412856 33238 0 0 33238 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 OTHER REVENUE 900099 261473 0 0 261473 CAFETERIA 900099 61256 0 0 61256 0 0 0 0 322729 27895451 27412856 0 355967 X 1238606 1007111 230876 619 150161 150161 10349935 8415532 1929228 5175 86857 70623 16190 44 1131834 920892 210378 564 917329 745880 170990 459 116404 116404 136434 136434 8804 8804 4376732 3651678 723114 1940 29199 23741 5443 15 1744448 1418410 325165 873 370129 300952 68992 185 144040 117119 26849 72 530449 431308 98876 265 658606 535513 122764 329 320449 260557 59732 160 MEDICAL SUPPLIES 2175128 2175128 BAD DEBT 1565746 1565746 MEDICAID 768449 768449 REPAIRS & MAINTENANCE 755870 614598 140894 378 1140009 926941 212498 570 28715618 24100339 4603631 11648 107651 58393 1742760 637435 0 0 2452362 3375402 0 0 0 0 0 0 593414 491885 146230 66850 22457897 18962970 3614334 3494927 0 0 0 0 0 0 2258492 1336855 10915243 9461747 3005818 1546497 0 0 0 0 0 0 0 0 0 0 7476514 7364470 0 0 247752 629146 10730084 9540113 X 173211 -80066 11948 1700 0 0 0 0 0 0 185159 -78366 10915243 9461747 X -820167 556642 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 8804 false false false 8804 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE LOBBYING EXPENSES RECORDED ARE A PORTION OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. 0 244304 244304 0 7951421 6851099 1100322 0 0 0 0 0 14262172 12111871 2150301 0 0 0 0 3494927 DUE FROM THIRD PARTY PAYORS 868000 OTHER RECEIVABLES 406878 ROU ASSETS 61977 1336855 Federal Income Taxes DUE TO THIRD PARTY 566000 ROU LIABILITY 63146 629146 26861288 531583 531583 26329705 1565746 1565746 27895451 27204939 55067 55067 27149872 1565746 1565746 28715618 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 2(d) Other revenues in audited financial statements not in form 990 RELATED ORGANIZATION'S REVENUE - 521335 NET ASSETS RELEASED FROM RESTRICTION - 10248 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements BAD DEBT EXPENSE - 1565746 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RELATED ORGANIZATION'S EXPENSES - 55067 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 1565746 true true X true X 300 false 135797 135797 0.00500 2614080 1992736 621344 0.02289 27450 14454 12996 0.00048 0 0 2777327 2007190 770137 0.02837 0 0.0 31406 17273 14133 0.00052 2256953 2075873 181080 0.00667 0 0.0 0 0.0 0 0 2288359 2093146 195213 0.00719 0 0 5065686 4100336 965350 0.03556 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 true 1565746 239559 12020741 11846600 174141 X true true 1 1 COMMUNITY HOSPITAL-FAIRFAX 261136 US HWY 59 FAIRFAX MO 64446 WWW.FAIRFAXMED.COM/ 102-61 X X X X COMMUNITY HOSPITAL-FAIRFAX 1 false false true X X X X X X X X X 25 true false false true X HTTPS://FAIRFAXMED.COM/CHNA X true 25 true HTTPS://FAIRFAXMED.COM/CHNA false true X 300.0 0 X X X X true true X X X X true X HTTPS://FAIRFAXMED.COM/CHARITY-CARE/ X HTTPS://FAIRFAXMED.COM/CHARITY-CARE/ X HTTPS://FAIRFAXMED.COM/CHARITY-CARE/ 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 HOSPITAL-FAIRFAX. CHF CONTRACTED WITH VVV CONSULTANTS LLC TO GATHER THE CHHA DATA AND CREATE THE CHNA. VVV CONSULTANTS BEGAN THE PROCESS IN NOVEMBER 2024 AND GATHERED THE COMMUNITY NEEDS FEEDBACK THROUGH TOWN HALL MEETINGS AND ONLINE SURVEYS. THEY PARTED WITH ATCHISON COUNTY HEALTH DEPARTMENT TO ENSURE MEETING THE 80% PATIENT ORIGIN RULE AND DEFINED CHF'S SERVICE AREA USING THE 10 ZIP CODES IN ATCHISON AND HOLT COUNTIES. THERE WERE 114 LOCAL RESIDENTS THAT ATTENDED THE TOWN HALL MEETING AND 170 RESIDENTS THAT RESPONDED ONLINE, ACROSS A BROAD DEMOGRAPHIC INCLUDING BUSINESS MERCHANTS, CLERGY, FARMERS AND TEACHERS AND SCHOOL ADMINISTRATORS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - COMMUNITY HOSPITAL-FAIRFAX. THE SURVEY WAS ADOPTED BY THE MAY 2025 BOARD OF DIRECTORS MEETING. DISCUSSION INVOLVED STRATEGIES IDENTIFIED IN THE CHNA INVOLVED IMPROVING MENTAL HEALTH ACCESS AND PRIMARY CARE ACCESS. EACH OF THESE IDENTIFIED AREAS OF NEED WAS ADDED BY THE BOARD TO THE HOSPITAL'S STRATEGIC PLAN AND WAS ADOPTING A BUDGET FOR EACH. 6 MOUND CITY FAMILY MEDICINE 514 STATE STREET MOUND CITY MO 64470 PROVIDER BASED RURAL HEALTH CLINIC WEST NODAWAY FAMILY MEDICINE 226 W MAIN STREET BURLINGTON JUNCTION MO 64428 PROVIDER BASED RURAL HEALTH CLINIC SOUTH HOLT FAMILY MEDICINE 101 SOUTH WASHINGTON OREGON MO 64473 PROVIDER BASED RURAL HEALTH CLINIC TARKIO FAMILY MEDICINE 102 S 6TH STREET TARKIO MO 64491 PROVIDER BASED RURAL HEALTH CLINIC FAIRFAX FAMILY MEDICINE 309 E MAIN STREET FAIRFAX MO 64446 PROVIDER BASED RURAL HEALTH CLINIC ROCK PORT FAMILY MEDICINE 100 E CASS STREET ROCK PORT MO 64482 PROVIDER BASED RURAL HEALTH CLINIC Schedule H, Part I, Line 3c ELIGIBILITY FOR FREE OR DISCOUNTED CARE ADDITIONAL FACTORS CONSIDERED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE INCLUDE ASSET LEVELS, MEDICAL INDIGENCY, INSURANCE/UNDERINSURANCE STATUS AND RESIDENCY. Schedule H, Part I, Line 7 COSTING METHODOLOGY THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7 OF SCHEDULE H, IS A COST TO CHARGE RATIO. Schedule H, Part I, Line 7f BAD DEBT EXPENSE THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $1,565,746. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Community Healthcare Foundation Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1565746 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE AMOUNT OF ACCOUNT BALANCES WRITTEN OFF TO BAD DEBTS THAT POSSIBLY WOULD HAVE QUALIFIED FOR CHARITY HAD THEY BEEN WILLING TO PROVIDE THE NECESSARY INFORMATION, AND THE TOTAL OF BANKRUPTCIES THE HOSPITAL HAD TO WRITE OFF. THIS AMOUNT WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE (LINE 2) TIMES THE PERCENT OF THE POPULATION OF ATCHISON COUNTY THAT IS UNINSURED. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE IS IN NOTE 1 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL'S SERVICE AREA IS APPROXIMATELY 23% MEDICARE BENEFICIARIES WHO PREFER TO GET THEIR MEDICAL CARE LOCALLY. OUR CUSTOMER SERVICE SURVEYS RATE COMMUNITY HOSPITAL CONSISTENTLY OVER 90%, SHOWING THESE MEDICARE BENEFICIARIES APPRECIATE THE SERVICES COMMUNITY HOSPITAL PROVIDES AND HOW THE SERVICES ARE PROVIDED. THE COSTING SOURCE WAS THE FY2024 MEDICARE COST REPORT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance COLLECTION POLICY STATES ALL UNINSURED AND INSURED PATIENTS ARE INFORMED ON THEIR FIRST STATEMENT OF SERVICES THAT COMMUNITY HOSPITAL HAS A GRANT PROGRAM (FOR FINANCIAL ASSISTANCE) FOR THOSE WHO QUALIFY. THIS SAME TYPE OF 'ASSISTANCE AVAILABLE' INFORMATION IS ALSO IN THE PATIENT INFORMATION BROCHURES IN THE PATIENT ROOMS AND WAITING AREAS. PATIENTS MAY QUALIFY FOR A CHARITY DISCOUNT OR A MEDICALLY INDIGENT DISCOUNT, DEPENDING ON THEIR FINANCIAL SITUATION AND USING THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 16a FAP website - COMMUNITY HOSPITAL-FAIRFAX: Line 16a URL: HTTPS://FAIRFAXMED.COM/CHARITY-CARE/; Schedule H, Part V, Section B, Line 16b FAP Application website - COMMUNITY HOSPITAL-FAIRFAX: Line 16b URL: HTTPS://FAIRFAXMED.COM/CHARITY-CARE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - COMMUNITY HOSPITAL-FAIRFAX: Line 16c URL: HTTPS://FAIRFAXMED.COM/CHARITY-CARE/; Schedule H, Part VI, Line 2 Needs assessment IN THE MOST RECENT COMMUNITY NEEDS ASSESSMENT, COMMUNITY HOSPITAL FAIRFAX IDENTIFIED PRIMARY ACCESS TO HEALTHCARE AS CONTINUING TO BE THE MAIN DRIVER OF SIGNIFICANT HEALTH ISSUES IN OUR SERVICE AREA. RECENT SURVEYS SHOW THAT MANY HOUSEHOLDS DO NOT ACCESS HEALTHCARE AT A PRIMARY LEVEL EVEN WHEN A HEALTHCARE ISSUE REQUIRING PRIMARY CARE SERVICES IS NEEDED. INCREASED RISK FACTORS INCLUDE HEART DISEASE, CANCER, CHRONIC LOWER RESPIRATORY DISEASE, AND STROKE. I. ABILITY TO PAY FOR CARE - COMMUNITY HOSPITAL-FAIRFAX IDENTIFIED STRATEGIES TO ASSIST THOSE WITH NO INSURANCE OR HIGH DEDUCTIBLES TO ACCESS CARE THAT THEY NEED. TO ASSIST WITH THIS EFFORT, COMMUNITY HOSPITAL-FAIRFAX HAS SUCCESSFULLY IMPLEMENTED A STRATEGY TO NEGOTIATE PAYMENT STRUCTURES WHICH ARE FAVORABLE TO PATIENTS. IN ADDITION TO THIS STRATEGY, AN AGGRESSIVE FORGIVENESS PROGRAM FOR EXISTING DEBT WAS IMPLEMENTED IN FY2020 AND FY2021. II. PREVENTIVE CARE - COMMUNITY HOSPITAL-FAIRFAX ONBOARDED A CARECOORDINATOR/POPULATION HEALTH NURSE. THIS NURSE HAS BEEN VERY ACTIVE BUILDING AN ANNUAL WELLNESS VISIT AND CHRONIC CARE MANAGEMENT PROGRAM FOR PRIMARY CARE CLINIC PATIENTS. ANNUAL WELLNESS VISITS ARE A BENEFIT OFFERED TO MEDICARE PATIENTS AND ARE CRITICAL IN HELPING IDENTIFY HEALTH NEEDS AND OPPORTUNITIES IN THAT POPULATION. WITH LESS THAN A FULL YEAR OF ACTIVE ANNUAL WELLNESS VISIT PROGRAM, NEARLY 20% OF COMMUNITY HOSPITAL-FAIRFAX'S ATTRIBUTED MEDICARE POPULATION HAS RECEIVED AN ANNUAL WELLNESS VISIT WITH THE POPULATION HEALTH NURSE AND THEIR PROVIDER. CHRONIC CARE MANAGEMENT IS EQUALLY IMPORTANT TO PREVENTATIVE HEALTH AS ITS FOCUS IS TO PROVIDE EXTRA CARE FOR PATIENTS WITH MULTIPLE CHRONIC DISEASES. STRATEGIES ARE CURRENTLY IN DEVELOPMENT FOR THIS PROGRAM. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance COMMUNITY HOSPITAL BUSINESS OFFICE STAFF WILL DISCUSS WITH INPATIENTS AND OUTPATIENTS THE OPTIONS AVALIABLE TO HELP THE PATIENTS MEET THEIR FINANCIAL OBLIGATIONS TO COMMUNITY HOSPITAL. THEY DISCUSS THE FEDERAL/STATE GOVERNMENT PROGRAMS AVAILABLE AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEN INFORMATION IS INCLUDED IN THE STATEMENTS SENT TO PATIENTS (EXPLAINING THE AMOUNTS OWED BY THE PATIENT'S INSURANCE OR THE PATIENT), MUCH OF THE INFORMATION IS THE SAME AS THE INFORMATION DISCUSSED IN PERSON. Schedule H, Part VI, Line 4 Community information COMMUNITY HOSPITAL-FAIRFAX SERVES THE ATCHISON, HOLT AND WESTERN NODAWAY COUNTIES, POPULATION APPROXIMATELY 10,700. THERE ARE FIVE MAIN TOWNS IN ATCHISON AND HOLT, ALL WITH POPULATIONS BELOW 2,000. THE POPULATION IS ALL RURAL AND THE ECONOMY IS LARGELY DRIVEN BY AGRICULTURE. THE POPULATION IS AGING WITH A MEDIAN HOUSEHOLD INCOME OF $43,000 AND $46,000. Schedule H, Part VI, Line 5 Promotion of community health TO EDUCATE AND PROVIDE SERVICES TO ITS COMMUNITY, COMMUNITY HOSPITAL RESPONDS BY PROVIDING THE FOLLOWING ACTIVITES: AN ANNUAL HEART HEALTH SCREENING OFFERED FREE OF CHARGE, AND FREE BLOOD PRESSURE CHECKS; DIABETES COUNSELING CLASSES WITH A REGISTERED DIETICIAN AND CERTIFIED DIABETES EDUCATOR; FREE GLUCOSE SCREENING, BMI CHECKS AND BLOOD PRESSURE CHECKS AT ANNUAL WOMEN'S EVENT; AN ANNUAL BACK TO SCHOOL FAIR WHERE SCHOOL SUPPLIES ARE DISTRIBUTED TO NEEDY CHILDREN AND HEALTHY EATING CHOICES ARE DISCUSSED; AN ANNUAL PROSTATE SCREENING WHICH INCLUDES A FREE EXAM FOR LOCAL RESIDENTS. IN ADDITION, THE HOSPITAL INITIATED A WORKPLACE WELLNESS PROGRAM WHERE SCREENINGS ARE OFFERED AT A REDUCED PRICE FOR EMPLOYEES. Schedule H, Part VI, Line 7 State filing of community benefit report MO X X false false false false false false false false false RICHARD ARON BURKE MD DIRECTOR/CHIEF MEDICAL OFFICER 714317 0 0 0 1695 0 30500 0 16320 0 762832 0 0 0 JON DAVIS CFO 171768 0 0 0 705 0 0 0 20052 0 192525 0 0 0 JULIE JONES CEO 287185 0 0 0 2819 0 26312 0 6648 0 322964 0 0 0 DR DUSTIN CARPENTER MD PHYSICIAN 273829 0 0 0 265 0 8839 0 16320 0 299253 0 0 0 KELLY OSBORN CRNA 219292 0 0 0 268 0 23000 0 16320 0 258880 0 0 0 DR MINA MASSEY DOCTOR 268531 0 0 0 0 0 0 0 16320 0 284851 0 0 0 RENEE KREIFELS CRNA 213174 0 0 0 386 0 30500 0 6648 0 250708 0 0 0 MELISSA WILLIAMSON APRN MANAGER 152363 0 0 0 0 0 9499 0 6648 0 168510 0 0 0 Schedule J, Part II CEO Compensation THE COMPENSATION FOR JULIE JONES IS PAID THROUGH A MANAGEMENT CONTRACT WITH THE NEBRASKA MEDICAL CENTER (NMC), AN UNRELATED 501(C)(3) HOSPITAL. JAMIE BURKE JAMIE BURKE IS THE DAUGHTER OF DR. RICHARD ARON BURKE, A DIRECTOR OF THE ORGANIZATION. 60869 JAMIE IS COMPENSATED AS AN LPN FOR THE ORGRANIZATION. false JOANNA BURKE JOANNA BURKE IS THE WIFE OF DR. RICHARD ARON BURKE, A DIRECTOR OF THE ORGANIZATION. 89292 JOANNA IS COMPENSATED AS A PEDIATRIC NURSE PRACTITIONER IN ONE OF OUR RELATED CLINICS. false Form 990, Part VI, Line 15a & 15B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ORGANIZATION USES COMPARABILITY DATA TO DETERMINE THE COMPENSATION OF THE CEO AND OTHER OFFICERS. THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE LAST REVIEW WAS IN 2024. Form 990, Part VI, Line 11b Review of form 990 by governing body AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S ADMINISTRATION. ANY QUESTIONS OR CONCERNS THE ORGANIZATION'S ADMINISTRATION HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 WITH ALL COMPLETED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION ANNUALLY OBTAINS WRITTEN AFFIRMATIONS FROM EACH OFFICER AND DIRECTOR AS TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A DISCLOSURE OCCURS, THE MATTER IS FORWARDED TO AN EXECUTIVE COMMITTEE OF THE BOARD OF DIRECORS TO REVIEW ALL CIRCUMSTANCES SURROUNDING THE CONFLICT OF INTEREST. THE DETERMINATION OF SUCH MATTERS IS DEEMED FINAL BY THE BOARD. THE CONFLICTED INDIVIDUAL MAY NOT VOTE OR PARTICIPATE IN DISCUSSIONS AND/OR DETERMINATIONS INVOLVING THE CONFLICT. IT IS NOTED IN THE BOARD MEETING MINUTES OF ANY INDIVIDUALS ABSTAINING FROM VOTING DUE TO ANY CONFLICT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PHYSICAN FEES - Total Expense: 497366, Program Service Expense: 497366, Management and General Expenses: 0, Fundraising Expenses: 0; FEES FOR SERVICES - Total Expense: 3483137, Program Service Expense: 2832138, Management and General Expenses: 649257, Fundraising Expenses: 1742; PROFESSIONAL FEES - Total Expense: 269797, Program Service Expense: 219372, Management and General Expenses: 50290, Fundraising Expenses: 135; CONSULTING FEES - Total Expense: 126432, Program Service Expense: 102802, Management and General Expenses: 23567, Fundraising Expenses: 63; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO RELATED ORGANIZATION - 556642; Total - 556642; COMMUNITY HEALTHCARE FOUNDATION 26136 US HWY 59 FAIRFAX MO 64446 431757553 SUPPORT ORG MO 501(c)(3) Type I CHA true false false false false false false false false false false false false true true true false true true false COMMUNITY HEALTHCARE FOUNDATION R 556642 FMV