GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION (EIN 43-0715842)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201211359349304356
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T14:07:43-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1
CityKansas CityCity
StateMOState
ZIP Code641062246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430715842EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1General John J PershingBusinessNameLine1
Business Name Line2Memorial Hospital AssociationBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlGENENameControl
Phone6602582222Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 E LocklingAddressLine1
Address Line2PO Box 408AddressLine2
CityBrookfieldCity
StateMOState
ZIP Code64628ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHIL HAMILTONName
TitleCEOTitle
Date Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael J EngleName
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHIL HAMILTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1130 E LOCKLING PO BOX 408AddressLine1
CityBROOKFIELDCity
StateMOState
ZIP Code64628ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16567337GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTHIS FISCAL YEAR WE STARTED ON OUR ELECTRONIC MEDICAL RECORD PREPARATION. WE WILL INSTALL CLINICAL MODULES IN THE ED, OR, CLINIC, INPATIENT, AND MOST ANCILLIARY DEPARTMENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees182TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10702ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16445181ProgramServiceRevenuePriorYear
Program Service Revenue CY16436626ProgramServiceRevenueCY
Investment Income Prior Year64548InvestmentIncomePriorYear
Investment Income Current Year53919InvestmentIncomeCurrentYear
Other Revenue Prior Year101432OtherRevenuePriorYear
Other Revenue Current Year76792OtherRevenueCurrentYear
Total Revenue Prior Year16621863TotalRevenuePriorYear
Total Revenue Current Year16567337TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9137GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7743GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7338054SalariesEtcPriorYear
Salaries Etc Current Year7212350SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9089658OtherExpensePriorYear
Other Expenses Current Year9048268OtherExpensesCurrentYear
Total Expenses Prior Year16436849TotalExpensesPriorYear
Total Expenses Current Year16268361TotalExpensesCurrentYear
Revenues Less Expenses Prior Year185014RevenuesLessExpensesPriorYear
Revenues Less Expenses CY298976RevenuesLessExpensesCY
Total Assets BOY21405960TotalAssetsBOY
Total Assets EOY21480994TotalAssetsEOY
Total Liabilities BOY8523359TotalLiabilitiesBOY
Total Liabilities EOY8299417TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12882601NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13181577NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2421380Expense
Grants1549Grants
Revenue3287325Revenue
DescriptionINPATIENT ACUTE CARE SERVICES WITH 445 INPATIENT ADMISSIONSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6779863Expense
Grants4336Grants
Revenue9204511Revenue
DescriptionOUTPATIENT SERVICES WITH 25,870 REGISTRATIONS. THIS INCLUDES 5,335 EMERGENCY ROOM VISITS. SEPERATE FROM THIS IS 3,867 HOME HEALTH AGENCY VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense847483Expense
Grants542Grants
Revenue1150564Revenue
DescriptionCOMMUNITY MEDICAL ASSOCIATES, OUR PROVIDER BASED RURAL HEALTH CLINIC, WITH BOTH SCHEDULED AND WALK-IN SERVICES, IS OPEN 10 HOURS A DAY MONDAY THRU SATURDAY AND 5 HOURS ON SUNDAY. IT HAD 20,052 VISITS THIS PAST FISCAL YEAR. IT IS A LOWER COST ALTERNATIVE THAN USING THE EMERGENCY ROOM.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2058173TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1316TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev2794226TotalOfOtherProgramServiceRev
Total Program Service Expense12106899TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees182NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGARY TANDY CFONamePerson
Telephone Number6602582222TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1130 E LOCKLING PO BOX 408AddressLine1
CityBROOKFIELDCity
StateMOState
ZIP Code64628ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ANGELA P LITTRELL
DIRECTOR1.0X000
WILLIAM THUDIUM
DIRECTOR/VICE PRESIDENT1.0X000X
ED KENNEDY
DIRECTOR/PRESIDENT1.0X000X
DR B K KNOWLES
DIRECTOR/CONTRACTED PHYSICIAN1.0X14799000
IRENE STEFFES
DIRECTOR/SECRETARY1.0X000X
GAIL TURNER
DIRECTOR/TREASURER1.0X000X
GARY ROUTLEDGE
DIRECTOR1.0X000
CARY SAYRE
DIRECTOR1.0X000
MARK CLEVELAND
DIRECTOR1.0X000
DR SP GALVEZ
DIRECTOR/EMPLOYED PHYSICIAN24.0X18588001951
PHIL HAMILTON
CEO40.0146648015248X
GARY TANDY
CFO40.090953014584X
DR JAMES L BOWERS
EMPLOYEE/PHYSICIAN40.013364103616X
BRIAN CASEBOLT
EMPLOYEE/PHARMACIST40.0102975018234X
GARY FITE
EMPLOYEE/PHYS. THERAPIST40.0117358015781X
FieldValueIRS element (for citing)
Total Reportable Comp From Org925445TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation69414TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
BOONE HOSPITAL CENTER COLUMBIA MO
MANAGEMENT244624
DR PEPITO RIVERA BROOKFIELD MO
PHYSICIAN530588
HAVE A NICE DAY ANESTHESIA CHILLICO
ANETHESIOLOGIST215298
DR B K KNOWLES
PHYSICIAN SERVICES147990
DR GARRETT ELAM
PHYSICIAN181125
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevDescription
Business Code621400BusinessCode
Total Revenue Column16436626TotalRevenueColumn
Related Or Exempt Function Income16436626RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16436626TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column53169TotalRevenueColumn
Exclusion$53,169ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real29173Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29173Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29173TotalRevenueColumn
Exclusion$29,173ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other750Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other750Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column750TotalRevenueColumn
Exclusion$750ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria72221028275$28,275
Medical Records5614997807$7,807
Vending Machines9000991546$1,546

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column9991TotalRevenueColumn
Exclusion$9,991ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue47619TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16567337TotalRevenueColumn
Related Or Exempt Function Income16436626RelatedOrExemptFunctionIncome
Exclusion$130,711ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7743Total
Program Services7743ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total623064Total
Program Services362643ProgramServices
Management And General260421ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total74701Total
Program Services52291ProgramServices
Management And General22410ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5088838Total
Program Services3635688ProgramServices
Management And General1453150ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total81659Total
Program Services57161ProgramServices
Management And General24498ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total915015Total
Program Services640511ProgramServices
Management And General274505ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total429073Total
Program Services300351ProgramServices
Management And General128722ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total153751Total
Management And General153751ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total85869Total
Management And General85869ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3477513Total
Program Services2837866ProgramServices
Management And General639647ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total11132Total
Program Services7792ProgramServices
Management And General3340ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1613826Total
Program Services1129678ProgramServices
Management And General484148ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total312357Total
Program Services218650ProgramServices
Management And General93707ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total43225Total
Management And General43225ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21413Total
Management And General21413ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total304874Total
Program Services213412ProgramServices
Management And General91462ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total976353Total
Program Services683447ProgramServices
Management And General292906ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total174796Total
Program Services122357ProgramServices
Management And General52439ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense13498171349817
Education1430314303
Taxes & Licenses3264932649
Medicaid FRA Payments427145427145
Dues & Subscriptions3298732987

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16258Total
Program Services13057ProgramServices
Management And General3201ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16268361Total
Program Services12106899ProgramServices
Management And General4161463ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7751401BOY
EOY5586068EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2296738BOY
EOY3269840EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31584BOY
EOY126662EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY160936BOY
EOY164488EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY151878BOY
EOY191301EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19448863LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7500320LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10814858BOY
EOY11948543EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY198565BOY
EOY194092EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21405960BOY
EOY21480994EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1241042BOY
EOY1231501EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY11825BOY
EOY12869EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7270492BOY
EOY7055047EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8523359BOY
EOY8299417EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12862162BOY
EOY13165118EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20439BOY
EOY16459EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12882601BOY
EOY13181577EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21405960BOY
EOY21480994EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses298976ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$2,921GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB2921TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis107129OtherCostOrOtherBasis
Book Value107129BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13906037OtherCostOrOtherBasis
Depreciation4830101Depreciation
Book Value9075936BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3397875OtherCostOrOtherBasis
Depreciation2670219Depreciation
Book Value727656BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2037822OtherCostOrOtherBasis
Book Value2037822BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11948543TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue16567337TotalRevenue
Total Expenses16268361TotalExpenses
Excess Or Deficit For Year298976ExcessOrDeficitForYear
Other$3,980OtherAmount
Total Adjustments3980TotalAdjustments
Excess Or Deficit Per FS302956ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16571317TotRevenueEtcAuditedFinclStmt
Other Revenues10080OtherRevenues
Revenue Not Rptd F99010080RevenueNotRptdF990
Revenue Subtotal16561237RevenueSubtotal
Other Revenues Not Included6100OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6100RevenueNotRptdOnFinStmt
Total Revenue Per Form99016567337TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16268361TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16268361ExpensesSubtotal
Total Expenses Per Form99016268361TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
UNCERTAIN TAX POSITIONS DISCLOSURESCHEDULE D, PART X, LINE 2MANAGEMENT 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.
RECONCILIATION OF CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8NET ASSETS RELEASED FROM RESTRICTIONS $10,080 RESTRICTED CONTRIBUTIONS RECEIVED $(6,100) --------- OTHER CHANGES IN NET ASSETS $3,980
RECONCILIATION OF REVENUESCHEDULE D, PART XII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS $10,080
RECONCILIATION OF REVENUESCHEDULE D, PART XII, LINE 4BRESTRICTED CONTRIBUTIONS RECEIVED $6,100

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage130.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage195.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense221135TotalCommunityBenefitExpense
Net Community Benefit Expense221135NetCommunityBenefitExpense
Percent Of Total Expense0.01360PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1987055TotalCommunityBenefitExpense
Direct Offsetting Revenue1543035DirectOffsettingRevenue
Net Community Benefit Expense444020NetCommunityBenefitExpense
Percent Of Total Expense0.02730PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2208190TotalCommunityBenefitExpense
Direct Offsetting Revenue1543035DirectOffsettingRevenue
Net Community Benefit Expense665155NetCommunityBenefitExpense
Percent Of Total Expense0.04090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9372TotalCommunityBenefitExpense
Direct Offsetting Revenue27532DirectOffsettingRevenue
Net Community Benefit Expense-18160NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9372TotalCommunityBenefitExpense
Direct Offsetting Revenue27532DirectOffsettingRevenue
Net Community Benefit Expense-18160NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2217562TotalCommunityBenefitExpense
Direct Offsetting Revenue1570567DirectOffsettingRevenue
Net Community Benefit Expense646995NetCommunityBenefitExpense
Percent Of Total Expense0.04110PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2500TotalCommunityBuildingExpense
Net Community Building Expense2500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense2500TotalCommunityBuildingExpense
Net Community Building Expense2500NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$651,499BadDebtExpenseAmount
Amount Attributable To97725AmountAttributableTo
Amount Reimbursed By Medicare7770240AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7914628CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-144388MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GENERAL JOHN J PERSHING MEM HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1130 E LOCKLING AVE PO BOX 408AddressLine1
CityBROOKFIELDCity
StateMOState
ZIP Code64628ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours
OtherHOME HEALTH, HOSPICE COMMUNITY MEDICAL ASSOCIATESOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GENERAL JOHN J PERSHING MEM HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
COMMUNITY MEDICAL ASSOCIATES
130 E LOCKLING AVEBROOKFIELDMO64628PROVIDED BASED RURAL HEALTH CLINIC
PERSHING MEMORIAL HOSPITAL HOME HEALTH
130 E LOCKLINGBROOKFIELDMO64628HOME HEALTH
PERSHING HOSPICE
130 E LOCKLING AVEBROOKFIELDMO64628HOSPICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 7, COLUMN FTHE 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 1,349,817.
PART I, LINE 7THE COST-TO-CHARGE RATIO USED WAS DERIVED FROM WORKSHEET 2.
BAD DEBT EXPENSE4A- Bad Debt expense is that portion of any self pay balance referred on for outside collection services, and that either did not apply or did not qualify under our Charity Care policy. The hospital provides services without charge or at amounts less than its established rate (to patients who meet the criteria of it's charity care policy). The hospital's charity care policy is founded on the federal poverty income quidelines. Accounts and amounts determined to meet this criteria are not reported as net revenue and are not pursued for collection. 4B- Used the Cost to Charge Ratio DERIVED FROM Worksheet 2 and applied THAT PERCENTAGE TO Net Bad Debts to arrive at AN ESTIMATED COST OF BAD DEBT. Then, per Collection Supervisor's estimate, applied 15% to the Net Bad Debts to arrive at estimated cost that could be Charity.PART III, LINE 4
MEDICARE SHORTFALLPERSHING MEMORIAL HOSPITAL BELIEVES THAT THE COMMUNITY DESERVES TO BE PROVIDED QUALITY HEALTHCARE LOCALLY. MEDICARE CURRENTLY REIMBURSES THE HOSPITAL LESS THAN THE COST OF THE SERVICES PROVIDED TO ITS PATIENTS. THEREFORE, PERSHING MEMORIAL HOSPITAL BELIEVES THAT THIS MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT.PART III, LINE 8
PART III, LINE 9BWe have both a Collection Policy and a Charity Care Policy that covers criteria for payment arrangements and for partial or full charity care write-off.
NEEDS ASSESSMENTPershing 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. A 9 page telephone survey was conducted (by an independent organization) in 2007 which covered all providers of health care services in Linn County, and made available to all entities.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEInformation on our charity care and collection (payment arrangements) policies are available thru our collection personnel and others at Pershing Hospital and thru our walk-in clinic, Community Medical Associates. Further, we print an abbreveated version of our charity care policy guidelines with an example on patient statements sent out. Social Services - thru the assessment/consultation process, identifies and assists in the application process for individuals.
COMMUNITY INFORMATIONPershing Health System serves Linn County (population of around 13,000) and surrounding area. It is made up of rural communities with a mixture of businesss and agriculture.
PROMOTION OF COMMUNITY HEALTH"Promoting the health of the community" Activities by: Community Medical Associates, our provider based RHC: -Provided a presentation to the Rotary Club on RHC's Nurse Practitioners. -Provided a presentation to the hospital Auxiliary on the differences between MDs and DOs. -Provided weight and blood pressure readings to Apex Plastics and United Missouri Bank for their employee wellness program. -Provided Clinical rotation site for Medical students, Nurse Practitioners, Nursing, Physical Therapy and Radiology students. -Provided job shadowing and clinical rotations to the area career centers. -Provide sports physicals at a reduced price at the beginning of each school year. -Nurse practitioners provide well child exams yearly at the Linn Co. Health Dept. Hospital Week, annual public event done at the local YMCA: -Processed 884 blood draws; Physical Therapy health booth; Home Health and Hospice participated; Bone density tests (156 screenings) (letting people at risk know that they should share their results with their family physician); Blood pressures and pulse oximetry tests were performed; Sponsor of a YMCA youth athletic team. Other health fairs and events: Conducted fairs at other businesses in our service area, including the local Wal-Mart. Radiology spoke at a MASH camp - a career day event. Tours: -Tours of the hospital were conducted this year with 3 schools - a once a year public event which lets us promote the positive aspects of Pershing Health System. Home Health Services: -Provides approximately 50-60 free visits per year (flu shots, blood draws, vital signs, etc). Newspaper Articles: -Home Health/Hospice - Still a Benefit; Electronic Medical Records; Bed Bugs; Sleep Disorders; Holiday Stress; Dietary - Diabetes; Community Medical Associates - Germ Buster; Healthy Holidays, Fever in a Young Child; Radiology - Measuring bone Strength (DEXA); Nursing - What is a Swing Bed; Financial Assistance Charity Care -Numerous other minor contributions to the general welfare and safety of our community.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PHIL HAMILTON
11955801956507525027570124910161896000
DR SP GALVEZ
185880000000019510187831000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION FROM AN UNRELATED ORGANIZATIONIdentifier
Return ReferenceFORM 990, PART VII, LINE 5ReturnReference
ExplanationPHIL HAMILTON RECEIVED $161,896 FROM BOONE HOSPITAL CENTER, AN UNRELATED ORGANIZATION, FOR HIS SERVICES AS CEO.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANGELA CLEVELAND
SPOUSE OF DIRECTOR51615EMPLOYEEfalse
SHANNON KNOWLES
SPOUSE OF DIRECTOR23086EMPLOYEEfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DTHE HOSPITAL ALSO ADVANCES THE QUALITY OF LIFE IN THE RURAL AREA THROUGH PUBLIC EDUCATION REGARDING HEALTH CARE ISSUES, PROMOTING HEALTHY LIFESTYLES AND PROVISION OF HEALTH SCREENING.
DELEGATION OF CONTROL OVER MANAGMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT FOR THE OPERATION AND MANAGEMENT OF THE HOSPITAL. THE MANAGEMENT AGREEMENT PROVIDES DAILY OPERATING AUTHORITY TO THE MANGEMENT COMPANY AND CEO SERVICES.
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 6THE 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 TUESDAY 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.
MEMBERS OR STOCKHOLDERS MAY ELECT GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7AMEMBERS OF THE CORPORATION HAVE THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF MEMBERSHIP.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE 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.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY AND THE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE IS DISTRIBUTED ANNUALLY TO THE BOARD OF DIRECTORS AND OFFICERS. THE QUESTIONNAIRE IS COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. IN SUCH A CASE THAT A CONFLICT OF INTEREST DOES OCCUR, THE DISCLOSING INDIVIDUAL WITH THE CONFLICT OF INTEREST DOES NOT ATTEND ANY MEETINGS OR DISCUSSIONS REGARDING THE MATTER. THE DISCLOSING INDIVIDUAL DOES NOT VOTE OR ENDEAVOR TO INFLUENCE CORPORATE ACTION IN ANY SUCH MATTER.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15A & 15BTHE 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 ORGANIZATIONS BOARD OF DIRECTORS. THE CEO DETERMINES THE CFO'S COMPENSATION ANNUALLY. COMPENSATION SURVEYS ARE USED TO EVALUATE COMPENSATION LEVELS. THE CEO CONDUCTS AN ANNUAL EVALUATION OF KEY MANAGEMENT STAFF.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.

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