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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER OPERATING REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>43969</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>43969</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>18217624</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>53283</TotalRevenueColumn>
        <ExclusionAmount>53283</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Other>5845</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>5845</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>5845</TotalRevenueColumn>
        <ExclusionAmount>5845</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>18783897</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18217624</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>59128</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>2000</Total>
        <ProgramServices>2000</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>552907</Total>
        <ProgramServices>424134</ProgramServices>
        <ManagementAndGeneral>128773</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>61530</Total>
        <ProgramServices>47021</ProgramServices>
        <ManagementAndGeneral>14509</ManagementAndGeneral>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>8230335</Total>
        <ProgramServices>6257784</ProgramServices>
        <ManagementAndGeneral>1972551</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>288502</Total>
        <ProgramServices>213514</ProgramServices>
        <ManagementAndGeneral>74988</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>843528</Total>
        <ProgramServices>751362</ProgramServices>
        <ManagementAndGeneral>92166</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>596208</Total>
        <ProgramServices>538398</ProgramServices>
        <ManagementAndGeneral>57810</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>12142</Total>
        <ManagementAndGeneral>12142</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>99141</Total>
        <ManagementAndGeneral>99141</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2527023</Total>
        <ProgramServices>2163905</ProgramServices>
        <ManagementAndGeneral>363118</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>80856</Total>
        <ProgramServices>75048</ProgramServices>
        <ManagementAndGeneral>5808</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2068817</Total>
        <ProgramServices>1944027</ProgramServices>
        <ManagementAndGeneral>124790</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>386176</Total>
        <ProgramServices>297257</ProgramServices>
        <ManagementAndGeneral>88919</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>131572</Total>
        <ProgramServices>106340</ProgramServices>
        <ManagementAndGeneral>25232</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>27665</Total>
        <ProgramServices>20562</ProgramServices>
        <ManagementAndGeneral>7103</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>8997</Total>
        <ProgramServices>7099</ProgramServices>
        <ManagementAndGeneral>1898</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>482974</Total>
        <ProgramServices>383447</ProgramServices>
        <ManagementAndGeneral>99527</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>237365</Total>
        <ProgramServices>194980</ProgramServices>
        <ManagementAndGeneral>42385</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>791907</Total>
        <ProgramServices>791907</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIP RENTAL &amp; MAINTENANCE</Description>
        <Total>647140</Total>
        <ProgramServices>499566</ProgramServices>
        <ManagementAndGeneral>147574</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>63120</Total>
        <ProgramServices>29272</ProgramServices>
        <ManagementAndGeneral>33848</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EDUCATIONAL EXPENSES</Description>
        <Total>6579</Total>
        <ProgramServices>6463</ProgramServices>
        <ManagementAndGeneral>116</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>_</Description>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>22645</Total>
        <ProgramServices>7310</ProgramServices>
        <ManagementAndGeneral>15335</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>18169129</Total>
        <ProgramServices>14761396</ProgramServices>
        <ManagementAndGeneral>3407733</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>2437112</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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      <AccountsReceivable>
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      <ReceivablesFromOfficersEtc>
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        <EOY>23558</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>394975</EOY>
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      <PrepaidExpensesDeferredCharges>
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        <EOY>274962</EOY>
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      <LandBuildingsEquipmentBasis>26815346</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>11479583</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>0</EOY>
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        <EOY>83710</EOY>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>11407987</EOY>
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      <TotalLiabilities>
        <BOY>3180930</BOY>
        <EOY>13489460</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>9870647</BOY>
        <EOY>10174718</EOY>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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        <EOY>75794</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11252903</BOY>
        <EOY>12048618</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>14433833</BOY>
        <EOY>25538078</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>614768</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>180947</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Form4720Filed>false</Form4720Filed>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>1526</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
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      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>POLITICAL &amp; LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1(F)</ReturnReference>
        <Explanation>DUES PAID TO THE KANSAS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      <HeldWorksOfArtAmts />
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      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.34458</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
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        <BookValue>213401</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4774471</OtherCostOrOtherBasis>
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        <BookValue>1317341</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>863370</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <Depreciation>130035</Depreciation>
        <BookValue>12941651</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>15335763</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <TotalOfAmounts>0</TotalOfAmounts>
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      <ExcessOrDeficitForYear>614768</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>180947</NetUnrealizedGLOnInvestments>
      <OtherAmount>-491644</OtherAmount>
      <TotalAdjustments>-310697</TotalAdjustments>
      <ExcessOrDeficitPerFS>304071</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>18473200</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>180947</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>180947</RevenueNotRptdF990>
      <RevenueSubtotal>18292253</RevenueSubtotal>
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      <RevenueNotRptdOnFinStmt>491644</RevenueNotRptdOnFinStmt>
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      <TotalExpensesPerForm990>18169129</TotalExpensesPerForm990>
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      </Form990ScheduleDPartXIV>
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        <Identifier>UNCERTAIN TAX POSITIONS DISCLOSURE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
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        <ReturnReference>SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>RESTRICTED ENDOWMENT CONTRIBUTIONS $491,644</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>150.</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
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      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
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        <NetCommunityBenefitExpense>267230</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01470</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <PercentOfTotalExpense>0.01000</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
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        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
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      </TotalCharityCare>
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        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthProfessionsEducation>
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        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </SubsidizedHealthServices>
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      <CashAndInKindContributions>
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      </CashAndInKindContributions>
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        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
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      <AmountAttributableTo>26813</AmountAttributableTo>
      <AmountReimbursedByMedicare>7259966</AmountReimbursedByMedicare>
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      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Community Memorial Healthcare Inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>708 N 18th Street</AddressLine1>
          <City>Marysville</City>
          <State>KS</State>
          <ZIPCode>66508</ZIPCode>
        </Address>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Community Memorial Healthcare Inc</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>5</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Community Physicians Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1902 MAY</AddressLine1>
            <City>MARYSVILLE</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Marysville Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>808 N 19th</AddressLine1>
            <City>Marysville</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Blue Rapids Medical Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>607 lincoln</AddressLine1>
            <City>BLUE RAPIDS</City>
            <State>KS</State>
            <ZIPCode>66411</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Community Medical Equipment</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>805 Broadway</AddressLine1>
            <City>Marysville</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </Address>
          <FacilityType>Durable Medical Equipment</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CMH Home Health</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>910 Broadway</AddressLine1>
            <City>Marysville</City>
            <State>KS</State>
            <ZIPCode>66508</ZIPCode>
          </Address>
          <FacilityType>Home Health Agency</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>AMOUNT OF BAD DEBT REMOVED FROM PART I, LINE 7, CALCULATION</Identifier>
        <ReturnReference>SCHEDULE H, PART I, LINE 7(F)</ReturnReference>
        <Explanation>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(F) IS $791,907.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>METHOD USED TO DETERMINE THE COST-TO-CHARGE RATIO</Identifier>
        <ReturnReference>SCHEDULE H, PART I, LINE 7(A)</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>METHOD USED TO DETERMINE BAD DEBT EXPENSE</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 4</ReturnReference>
        <Explanation>CMH REPORTS PATIENT ACCOUNTS RECEIVABLES FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS, PATIENTS, AND OTHERS. CMH PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVALBLES, HISTORICAL COLLETIVE INFORMATION AND EXISTING ECONOMIC CONDITIONS. THE AMOUNT ON LINE THREE WAS CALCULATED BY TAKING A RATIO OF CHARITY CARE TO NET PATIENT SERVICE REVENUE AND APPLYING THAT RATIO TO BAD DEBT. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY USED TO DETERMINE ALLOWABLE MEDICARE COSTS</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 8</ReturnReference>
        <Explanation>THERE WAS A SHORTFALL RELATING TO THE MEDICARE REVENUE RECEIVED AND RELATED ALLOWABLE MEDICARE COSTS. THE COSTING METHODOLOGY USED TO DETERMINE THESE AMOUNTS CAME FROM THE ORGANIZATIONS 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES FROM PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 9B</ReturnReference>
        <Explanation>CMH RECOGNIZES THE FACT THAT SOME PATIENTS WILL NEED ASSISTANCE IN MEETING THEIR FINANCIAL OBLIGATIONS ON PATIENT ACCOUNTS. FOR THESE PATIENTS, THE FINANCIAL ASSISTANCE POLICY HAS BEEN ESTABLISHED. THIS POLICY MANDATES THAT NOTICE OF THE POLICY BE POSTED AT INPATIENT, OUTPATIENT, AND CLINIC ADMISSIONS AREAS. IT FURTHER MANDATES THAT "DURING THE COLLECTION PROCESS, CMH WILL AGAIN NOTIFY PATIENTS OF OUR PATIENT FINANCIAL ASSISTANCE POLICY".</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT GROSS CHARGES</Identifier>
        <ReturnReference>SCHEDULE H, PART V, LINE 21</ReturnReference>
        <Explanation>ALL PATIENTS ARE INITIALLY CHARGED THE SAME AMOUNT, THEN DISCOUNTS/CONTRACTUAL ADJUSTMENTS ARE APPLIED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>In addition to conducting it's 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. CMH has partnered with Kansas State University and the Kansas Hospital Assoc. to conduct a community needs assessment in 2011.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>The insurance office personnel explain eligibility to patients and will assist with paperwork. The availability of Financial asistance is posted through out the building(i.e. the business office, the clinics, Emergency department). Patients who are identified either before services are rendered or prior to discharged 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>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 2000 census, the city of Marysville had a total population of 3,271, while Marshall County population was 10,965. BELOW ARE ADDITIONAL MARSHALL COUNTY DEMOGRAPHICS: 22% of the population is over 65 years of age. 28% of the population is between 45-64 years of age. 28% of the population is between the ages of 18-44. Median household income for Marshall county was $48,000 for 2008. Unemployment in Marshall county is 4.6%. 9.2% of the population are living below the poverty level. The hospital is the third largest employer in the county.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>Community Memorial Healthcare provides personnel and supplies to teach CPR classes for a nominal fee to the general public and local first responders. The hospital sponsors an annual healthfare for the general public drawing blood and runs diagnostic tests. The Hospital sponsors tours of local grocers with the intent of teaching community members how to read and understand nutrition labels and make healthy choices when purchasing groceries.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>true</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DR MICHELLE STONE</NamePerson>
        <BaseCompensationFilingOrg>46113</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>187864</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>29450</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13412</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16612</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>293451</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CURTIS R HAWKINSON</NamePerson>
        <BaseCompensationFilingOrg>124840</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8484</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2703</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5912</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11472</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>153411</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR JOHN HAEFELE</NamePerson>
        <BaseCompensationFilingOrg>38688</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>170894</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>256</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11560</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13146</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>234544</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR RANDALL BROWN</NamePerson>
        <BaseCompensationFilingOrg>43350</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>248465</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1627</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13412</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13146</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>320000</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR JOHN RYAN</NamePerson>
        <BaseCompensationFilingOrg>45634</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>180445</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2358</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7821</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11472</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>247730</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR KENNETH DUENSING</NamePerson>
        <BaseCompensationFilingOrg>37115</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>147974</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1210</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8913</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13146</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>208358</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DR FERNANDO UGARTE</NamePerson>
        <BaseCompensationFilingOrg>249814</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2581</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13089</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11328</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>276812</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>EXPLANATION OF COMPENSATION CONTINGENT OF REVENUES</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 5A</ReturnReference>
        <Explanation>PHYSICIAN COMPENSATION IS BASED ON A PRODUCTION COMPONENT OF THEIR SERVICES. PHYSICIANS RECEIVE AS COMPENSATION, A PERCENTAGE OF CERTAIN QUALIFIED PROCEDURES IN WHICH THEY PERFORM.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>DR MICHELLE STONE</NamePerson>
        <PurposeOfLoan>- MD TUITIION</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>175000</OriginalPrincipalAmount>
        <BalanceDue>23558</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>false</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>23558</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SEE SCHEDULE L PART V</NamePerson>
        </NameOfInterestedPerson>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS WITH INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>BOARD MEMBER - GARY HOLLE (A) JOYCE HOLLE (B) SPOUSE (C) $61,530 (D) COMPENSATION (E) NO</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>LABORATORY SERVICES INPATIENT AND OUTPATIENT 239,990 TESTS AND 149 BLOOD TRANSFUSIONS. PROGRAM EXPENSES: $926,487 GRANTS: NONE REVENUES: $2,090,588</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS/FAMILY RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>RICH LANDOLL, CAROL BLOCKER, DON BRUNA, KEN KICKHAEFER, CHARLOTTE BARRINGTON, GARY HOLLE, WILLIAM OBORNY, JOHN SCHWARTZ, JONNA HUBBARD, ED HENRY, DAVID HAMEL, DAN CAFFREY, CURTIS HAWKINSON AND MICHELLE STONE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. THEY ALL SERVE AS AN OFFICER OR DIRECTOR FOR COMMUNITY PHYSICIANS CLINIC, A RELATED FOR-PROFIT COMPANY. THE OFFICERS AND DIRECTORS DO NOT RECEIVE ANY COMPENSATION FROM OR HAVE ANY STOCK OWNERSHIP IN THE RELATED FOR-PROFIT COMPANY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS OR STOCKHOLDERS MAY ELECT GOVERNING BODY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>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 PRESENTING PERSON EXCEPT AS OTHERWISE PROVIDED BY LAW, THE ARTICLES OF INCORPORATION OR THE BYLAWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING BODY DECISIONS SUBJECT TO APPROVAL OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>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 AND THE FORM 990 IS FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; B</ReturnReference>
        <Explanation>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 REVIEW WAS LAST CONDUCTED IN 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>UNREALIZED GAIN ON INVESTMENTS 180,947</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CMH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>708 N 18TH STREET</AddressLine1>
          <City>MARYSVILLE</City>
          <State>KS</State>
          <ZIPCode>66508</ZIPCode>
        </AddressUS>
        <EIN>320297285</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>APPLIED FOR</ExemptCodeSection>
        <PublicCharityStatus>APPLIED FOR</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY PHYSICIANS CLINIC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>708 N 18TH STREET</AddressLine1>
          <City>MARYSVILLE</City>
          <State>KS</State>
          <ZIPCode>66508</ZIPCode>
        </AddressUS>
        <EIN>481065189</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>847236</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COMMUNITY PHYSICIANS CLINIC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>323684</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>