GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION (EIN 43-0715842)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201141369349300044
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T11:55:02-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1
City	Kansas City	City
State	MO	State
ZIP Code	641062246	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	430715842	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	General John J Pershing	BusinessNameLine1
Business Name Line2	Memorial Hospital Association	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	GENE	NameControl
Phone	6602582222	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	130 E Lockling	AddressLine1
Address Line2	PO Box 408	AddressLine2
City	Brookfield	City
State	MO	State
ZIP Code	64628	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PHIL HAMILTON	Name
Title	CEO	Title
Date Signed	2011-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Michael J Engle	Name
Phone	8162216300	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PHIL HAMILTON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	130 E LOCKLING PO BOX 408	AddressLine1
City	BROOKFIELD	City
State	MO	State
ZIP Code	64628	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	16621863	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	THIS FISCAL YEAR WE STARTED ON OUR ELECTRONIC MEDICAL RECORD PREPARATION. WE WILL INSTALL CLINICAL MODULES IN THE ED, OR, CLINIC, IP, AND MOST ANCILLIARY DEPARTMENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	171	TotalNbrEmployees
Total Nbr Volunteers	33	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	13688	ContributionsGrantsPriorYear
Contributions Grants Current Year	10702	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	15328772	ProgramServiceRevenuePriorYear
Program Service Revenue CY	16445181	ProgramServiceRevenueCY
Investment Income Prior Year	73131	InvestmentIncomePriorYear
Investment Income Current Year	64548	InvestmentIncomeCurrentYear
Other Revenue Prior Year	96349	OtherRevenuePriorYear
Other Revenue Current Year	101432	OtherRevenueCurrentYear
Total Revenue Prior Year	15511940	TotalRevenuePriorYear
Total Revenue Current Year	16621863	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	6851	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9137	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7071655	SalariesEtcPriorYear
Salaries Etc Current Year	7338054	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	8083261	OtherExpensePriorYear
Other Expenses Current Year	9089658	OtherExpensesCurrentYear
Total Expenses Prior Year	15161767	TotalExpensesPriorYear
Total Expenses Current Year	16436849	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	350173	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	185014	RevenuesLessExpensesCY
Total Assets BOY	21218425	TotalAssetsBOY
Total Assets EOY	21405960	TotalAssetsEOY
Total Liabilities BOY	8520838	TotalLiabilitiesBOY
Total Liabilities EOY	8523359	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	12697587	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	12882601	NetAssetsOrFundBalancesEOY
Mission Description	SERVING OTHERS THROUGH QUALITY, COMPASSIONATE CARE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2462570	Expense
Grants	1827	Grants
Revenue	3301711	Revenue
Description	INPATIENT ACUTE CARE SERVICES WITH 548 INPATIENT ADMISSIONS	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6895195	Expense
Grants	5117	Grants
Revenue	9244791	Revenue
Description	OUTPATIENT SERVICES WITH 25,092 REGISTRATIONS. THIS INCLUDES 5,321 EMERGENCY ROOM VISITS. SEPERATE FROM THIS IS 3,897 HOME HEALTH AGENCY VISITS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	861899	Expense
Grants	640	Grants
Revenue	1155599	Revenue
Description	COMMUNITY 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 19,436 VISITS THIS PAST FISCAL YEAR. IT IS A LOWER COST ALTERNATIVE THAN USING THE EMERGENCY ROOM.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	2093184	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1553	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	2806454	TotalOfOtherProgramServiceRev
Total Program Service Expense	12312848	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	43	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	171	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MO	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	GARY TANDY CFO	NamePerson
Telephone Number	6602582222	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	130 E LOCKLING PO BOX 408	AddressLine1
City	BROOKFIELD	City
State	MO	State
ZIP Code	64628	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
ANGELA P LITTRELL
DIRECTOR	1.0	X	0	0	0
WILLIAM THUDIUM
DIRECTOR/VICE PRESIDENT	1.0	X	0	0	0	X
ED KENNEDY
DIRECTOR/PRESIDENT	1.0	X	0	0	0	X
DR J D URE
DIRECTOR/CONTRACTED PHYSICIAN	1.0	X	170724	0	0
DR B K KNOWLES
DIRECTOR/CONTRACTED PHYSICIAN	1.0	X	19405	0	0
IRENE STEFFES
DIRECTOR/SECRETARY	1.0	X	0	0	0	X
GAIL TURNER
DIRECTOR/TREASURER	1.0	X	0	0	0	X
GARY ROUTLEDGE
DIRECTOR	1.0	X	0	0	0
CARY SAYRE
DIRECTOR	1.0	X	0	0	0
MARK CLEVELAND
DIRECTOR	1.0	X	0	0	0
DR SP GALVEZ
DIRECTOR/EMPLOYED PHYSICIAN	24.0	X	163820	0	1035
PHIL HAMILTON
CEO	40.0		145173	0	14816	X
GARY TANDY
CFO	40.0		93678	0	12614	X
DR JAMES L BOWERS
EMPLOYEE/PHYSICIAN	40.0		131709	0	13192		X
BRIAN CASEBOLT
EMPLOYEE/PHARMACIST	40.0		101020	0	16972		X
GARY FITE
EMPLOYEE/PHYS. THERAPIST	40.0		119432	0	14513		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	944961	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	73142	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
BOONE HOSPITAL CENTER COLUMBIA MO
MANAGEMENT	243705
DR PEPITO RIVERA BROOKFIELD MO
PHYSICIAN	434188
HAVE A NICE DAY ANESTHESIA CHILLICO
ANETHESIOLOGIST	186574
DELTA LOCUM TENENS DALLAS TX
PHYSICIAN SERVICES	174926
JERRY WAIT KIRKSVILLE MO
PHYSICIAN	172165

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	10	NumberOfContractorsGT100K
All Other Contributions	10702	AllOtherContributions
Total Contributions	10702	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Net Patient Service Rev	Description
Business Code	621400	BusinessCode
Total Revenue Column	16445181	TotalRevenueColumn
Related Or Exempt Function Income	16445181	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	16445181	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	49548	TotalRevenueColumn
Exclusion	$49,548	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	38058	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	38058	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	38058	TotalRevenueColumn
Exclusion	$38,058	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	15000	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	15000	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	15000	TotalRevenueColumn
Exclusion	$15,000	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722210	30854	30854
MEDICAL RECORDS	561499	8598	8598
VENDING MACHINES	900099	13544	13544

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10378	TotalRevenueColumn
Related Or Exempt Function Income	10378	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	63374	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16621863	TotalRevenueColumn
Related Or Exempt Function Income	16508555	RelatedOrExemptFunctionIncome
Exclusion	$102,606	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9137	Total
Program Services	9137	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	536043	Total
Management And General	536043	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5152042	Total
Program Services	3968637	ProgramServices
Management And General	1183405	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	77893	Total
Program Services	54525	ProgramServices
Management And General	23368	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1158234	Total
Program Services	823787	ProgramServices
Management And General	334447	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	413842	Total
Program Services	289689	ProgramServices
Management And General	124153	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	88003	Total
Management And General	88003	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	63852	Total
Management And General	63852	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3325543	Total
Program Services	2752928	ProgramServices
Management And General	572615	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	13933	Total
Program Services	9753	ProgramServices
Management And General	4180	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1756833	Total
Program Services	1229783	ProgramServices
Management And General	527050	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	418129	Total
Program Services	292690	ProgramServices
Management And General	125439	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	43892	Total
Management And General	43892	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	18826	Total
Management And General	18826	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	309779	Total
Program Services	216845	ProgramServices
Management And General	92934	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1016847	Total
Program Services	711793	ProgramServices
Management And General	305054	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	141420	Total
Program Services	98994	ProgramServices
Management And General	42426	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	1426620	1426620
EDUCATION	15713	15713
TAXES & LICENSES	36419		36419
MEDICAID FRA PAYMENTS	367700	367700
DUES & SUBSCRIPTIONS	30372	30372

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	15777	Total
Program Services	13882	ProgramServices
Management And General	1895	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	16436849	Total
Program Services	12312848	ProgramServices
Management And General	4124001	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6339943	BOY
EOY	7751401	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2738910	BOY
EOY	2296738	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	31584	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	153891	BOY
EOY	160936	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	88606	BOY
EOY	151878	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	17338826	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6523968	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	11701788	BOY
EOY	10814858	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	195287	BOY
EOY	198565	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	21218425	BOY
EOY	21405960	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1269264	BOY
EOY	1241042	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	11825	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7251574	BOY
EOY	7270492	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	8520838	BOY
EOY	8523359	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12676018	BOY
EOY	12862162	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21569	BOY
EOY	20439	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	12697587	BOY
EOY	12882601	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	21218425	BOY
EOY	21405960	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$5,253	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	5253	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	107129	OtherCostOrOtherBasis
Book Value	107129	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13853234	OtherCostOrOtherBasis
Depreciation	4069152	Depreciation
Book Value	9784082	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3367591	OtherCostOrOtherBasis
Depreciation	2454816	Depreciation
Book Value	912775	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10872	OtherCostOrOtherBasis
Book Value	10872	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	10814858	TotalOfBookValueLandBuildings
Total Revenue	16621863	TotalRevenue
Total Expenses	16436849	TotalExpenses
Excess Or Deficit For Year	185014	ExcessOrDeficitForYear
Other	$1,130	OtherAmount
Total Adjustments	1130	TotalAdjustments
Excess Or Deficit Per FS	186144	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	16622993	TotRevenueEtcAuditedFinclStmt
Other Revenues	8054	OtherRevenues
Revenue Not Rptd F990	8054	RevenueNotRptdF990
Revenue Subtotal	16614939	RevenueSubtotal
Other Revenues Not Included	6924	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	6924	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	16621863	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	16436849	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	16436849	ExpensesSubtotal
Total Expenses Per Form990	16436849	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
UNCERTAIN TAX POSITIONS DISCLOSURE	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.
RECONCILIATION OF CHANGE IN NET ASSETS	SCHEDULE D, PART XI, LINE 8	NET ASSETS RELEASED FROM RESTRICTIONS: $8,054 RESTRICTED CONTRIBUTIONS RECEIVED: $(6,924) -------- OTHER CHANGES IN NET ASSETS $1,130
RECONCILIATION OF REVENUE	SCHEDULE D, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS: $8,054
RECONCILIATION OF REVENUE	SCHEDULE D, PART XII, LINE 4B	RESTRICTED CONTRIBUTIONS RECEIVED: $6,924

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	150.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	435006	TotalCommunityBenefitExpense
Direct Offsetting Revenue	226711	DirectOffsettingRevenue
Net Community Benefit Expense	208295	NetCommunityBenefitExpense
Percent Of Total Expense	0.01270	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1584945	TotalCommunityBenefitExpense
Direct Offsetting Revenue	934394	DirectOffsettingRevenue
Net Community Benefit Expense	650551	NetCommunityBenefitExpense
Percent Of Total Expense	0.03960	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2019951	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1161105	DirectOffsettingRevenue
Net Community Benefit Expense	858846	NetCommunityBenefitExpense
Percent Of Total Expense	0.05230	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9681	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24875	DirectOffsettingRevenue
Net Community Benefit Expense	-15194	NetCommunityBenefitExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11678	TotalCommunityBenefitExpense
Net Community Benefit Expense	11678	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21359	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24875	DirectOffsettingRevenue
Net Community Benefit Expense	-3516	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2041310	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1185980	DirectOffsettingRevenue
Net Community Benefit Expense	855330	NetCommunityBenefitExpense
Percent Of Total Expense	0.05300	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	5000	TotalCommunityBuildingExpense
Net Community Building Expense	5000	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	5000	TotalCommunityBuildingExpense
Net Community Building Expense	5000	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$726,944	BadDebtExpenseAmount
Amount Attributable To	109042	AmountAttributableTo
Amount Reimbursed By Medicare	6909250	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	6840828	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	68422	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GENERAL JOHN J PERSHING MEM HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	130 E LOCKLING AVE PO BOX 408	AddressLine1
City	BROOKFIELD	City
State	MO	State
ZIP Code	64628	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours
Other	HOME HEALTH, HOSPICE COMMUNITY MEDICAL ASSOCIATES	Other

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	THE COST-TO-CHARGE RATIO USED WAS DERIVED FROM WORKSHEET 2.	CostingMethodUsed
Subsidized Health Services Expln	N/A	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 1,426,620.	PercentOfTotalExpenseExpln
Bad Debt Footnote	4A- 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.	BadDebtFootnote
Debt Collection Policy	We 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.	DebtCollectionPolicy
Needs Assessment	Pershing 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.	NeedsAssessment
Patient Education Assistance	Information 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. Last year, in an effort to more widely advertise our policies, our collection staff were interviewed by our local newspaper and they published (main page) an extensive article on our policies, citing examples and guidelines. 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.	PatientEducationAssistance
Community Information	Pershing 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.	CommunityInformation
Community Building Activities	Contributed to Brookfield Area Growth Partnership $5,000 - a non profit 501C 3 organization. This organization promotes activities that help assure business and residents remain in our community, therefore a healthy community for the future.	CommunityBuildingActivities
Other Information	"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. -Once a year, the clinic provides patient education articles for publication in the local newspaper. -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 888 blood draws; Physical Therapy health booth; Home Health participated; Diabetic informational booth by our Registered Dietician.; Bone density tests (letting people at risk know that they should share their results with their family physician); Blood pressures and pulse oximetry tests were performed. Other health fairs and events: -Conducted fairs at other businesses in our service area, including the local Wal-Mart. Home Health participated in Chariton County Health Fair, Brookfield's Relay for Life, spoke at Alzheimer's Support Group, and Bereavement Support Group. 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 - service needs in nursing homes. -Dietary - what not to avoid when dieting. -Cardiac Rehab - exercise - here to stay. -Radiology - state of the art high definition MRI system. -Hospice - wisdom from the bereavement support group. -CFO - Financial Assistance Charity Care policy revisions. Numerous other minor contributions to the general welfare and safety of our community.	OtherInformation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Written Employment Contract	X	WrittenEmploymentContract
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR J D URE
170724	0	0	0	0	0	0	0	0	0	170724	0	0	0
PHIL HAMILTON
123984	0	16145	0	5044	0	2248	0	12568	0	159989	0	0	0
DR SP GALVEZ
162904	0	0	0	916	0	0	0	1035	0	164855	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPENSE REIMBURSEMENTS	SCHEDULE J, PART I, LINE 1A & 1B	PHIL HAMILTON, THE ORGANIZATION'S CEO, IS PROVIDED A HEALTH CLUB MEMBERSHIP TO YMCA WHICH WAS INCLUDED IN HIS W-2.
COMPENSATION FROM AN UNRELATED ORGANIZATION	FORM 990, PART VII, LINE 5	PHIL HAMILTON RECEIVED $159,989 FROM BOONE HOSPITAL CENTER, AN UNRELATED ORGANIZATION, FOR HIS SERVICES AS CEO.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ANGELA CLEVELAND
SPOUSE OF DIRECTOR	65898	EMPLOYEE	false
SHANNON KNOWLES
SPOUSE OF DIRECTOR	17720	EMPLOYEE	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D	THE 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 DUTIES	FORM 990, PART VI, SECTION A, LINE 3	THE 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 STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINE 6	THE 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 BODY	FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS OF THE CORPORATION HAVE THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF MEMBERSHIP.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11B	THE 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 POLICY	FORM 990, PART VI, SECTION B, LINE 12C	THE 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 REVIEW	FORM 990, PART VI, SECTION B, LINE 15A & 15B	THE 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.
AVAILABILITY OF DOCUMENTS	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.