CARROLL COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- CARROLL COUNTY MEMORIAL HOSPITAL (EIN 44-0629397)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-01
- IRS object ID
- 202611219349302071
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-01T14:43:25-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 Burt St Ste 200 | AddressLine1Txt |
| City | Omaha | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 680224722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440629397 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carroll County Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARR | BusinessNameControlTxt |
| Phone | 6605421695 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 N Jefferson Street | AddressLine1Txt |
| City | Carrollton | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64633 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT THORESON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6605421695 | PhoneNum |
| Signature | 2026-05-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Megan L Koziol CPA | PreparerPersonNm |
| PTIN | P01544037 | PTIN |
| Phone | 4023302660 | PhoneNum |
| Preparation | 2026-04-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Scott Thoreson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 N Jefferson Street | AddressLine1Txt |
| City | Carrollton | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,894,258 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carrollcountyhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | Carroll County Memorial Hospital is dedicated to the health and well-being of all we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 295 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $41,873 | PYContributionsGrantsAmt |
| CY Contributions Grants | $500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $44,618,672 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,461,522 | CYProgramServiceRevenueAmt |
| PY Investment Income | $174,823 | PYInvestmentIncomeAmt |
| CY Investment Income | $309,502 | CYInvestmentIncomeAmt |
| PY Other Revenue | $264,976 | PYOtherRevenueAmt |
| CY Other Revenue | $72,303 | CYOtherRevenueAmt |
| PY Total Revenue | $45,100,344 | PYTotalRevenueAmt |
| CY Total Revenue | $49,843,827 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,503,544 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,570,685 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,031,436 | PYOtherExpensesAmt |
| CY Other Expenses | $24,583,018 | CYOtherExpensesAmt |
| PY Total Expenses | $44,534,980 | PYTotalExpensesAmt |
| CY Total Expenses | $48,153,703 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $565,364 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,690,124 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,220,804 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,382,515 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,729,759 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,609,200 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,491,045 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $33,773,315 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Carroll County Memorial Hospital is dedicated to the health and well-being of all we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $39,826,505 | ExpenseAmt |
| Revenue | $49,461,522 | RevenueAmt |
| Desc | Carroll County Memorial Hospital operates an acute care hospital located in Carrollton, Missouri. The Hospital also operates physician clinics and an independent living facility, all located in Carrollton, Missouri.Through the years we have helped generation after generation reach better health. Our organization has been striving to serve the needs of our region since we were established. We here at Carroll County Memorial Hospital are loyal to our community and will continue to strive for excellence in healthcare. Being part of the community has been an important goal throughout the years, and with your help and loyalty we can continue to provide health services that you can depend on.The Hospital provides financial assistance to patients with limited to no ability to pay for the healthcare services they receive. Patients who qualify for patient financial assistance are given a discount from established charges through the completion of the application for financial assistance based on the most recent published poverty guidelines. The Hospital determines the costs associated with providing patient financial assistance by aggregating the direct and indirect costs, including salaries, benefits, supplies and other operating expenses based on the overall cost-to-charge ratio. The costs of caring for these patients for the year ended Jun 30, 2025 was approximately $356,000. | Desc |
| Total Program Service Expenses | $39,826,505 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 295 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Thoreson | PersonNm |
| Phone | 6605421695 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 North Jefferson St | AddressLine1Txt |
| City | Carrollton | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64633 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Anna Barlow | ||||||||
| President | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Tom Burkhart | ||||||||
| Vice Pres | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Ken Brown | ||||||||
| Secr/Treas | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Wade Mertensmeyer | ||||||||
| Member | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Matt Lock | ||||||||
| Member | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jennifer Link | ||||||||
| Member | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jennifer Poston OD | ||||||||
| Member | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Janice Burnside | ||||||||
| Member | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Tracey Woodward | ||||||||
| Member | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Timothy Reid MD | ||||||||
| Member/Physician | 42.00 | 1.00 | Yes (X) | $304,318 | $0 | $59,259 | ||
| Kevin Brown | ||||||||
| Member (thru Jan) | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Scott Thoreson | ||||||||
| CEO | 39.00 | 1.00 | Yes (X) | $241,526 | $0 | $40,857 | ||
| Lesley Delaney | ||||||||
| CFO | 39.00 | 1.00 | Yes (X) | $170,061 | $0 | $47,887 | ||
| Gregory Hubbard MD | ||||||||
| Surgeon | 40.00 | $727,097 | $0 | $48,950 | Yes (X) | |||
| Richard Smith MD | ||||||||
| Physician | 40.00 | $517,935 | $0 | $38,950 | Yes (X) | |||
| Jeremy Stayton MD | ||||||||
| Surgeon | 40.00 | $490,094 | $0 | $24,740 | Yes (X) | |||
| Andrew Horine MD | ||||||||
| Physician | 40.00 | $447,892 | $0 | $63,964 | Yes (X) | |||
| Amy North DO | ||||||||
| Physician | 40.00 | $330,789 | $0 | $48,909 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,229,712 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $373,516 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Cerner Corp co Oracle America Inc | |||||
| PO Box 203448 | Dallas | TX | 75320 | EMR | $810,055 |
| Emergency Staffing Solutions Inc | |||||
| 17304 Preston Road Suite 1400 | Dallas | TX | 75252 | Emergency Room Staffing | $642,972 |
| Creative Planning | |||||
| PO Box 950443 | St Louis | MO | 63195 | IT Managed Services | $551,544 |
| Have a Nice Day Anesthesia | |||||
| 2106 Woodcrest Dr | Chillicothe | MO | 64601 | Anesthesia Services | $515,736 |
| Psychiatric Medical Care LLC | |||||
| 8 Cadillac Dr 230 | Brentwood | TN | 37027 | Psychiatric Services | $421,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Total Contributions | $500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $45,667,307 | $45,667,307 |
| Pharmacy Revenue | 900099 | $2,972,163 | $2,972,163 |
| Cafeteria | 722514 | $184,873 | $184,873 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $637,179 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $637,179 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,461,522 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $341,451 | TotalRevenueColumnAmt |
| Exclusion | $341,451 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $90,785 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,482 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $72,303 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,303 | TotalRevenueColumnAmt |
| Exclusion | $72,303 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $31,949 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$31,949 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$31,949 | TotalRevenueColumnAmt |
| Exclusion | -$31,949 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,843,827 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,461,522 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $381,805 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,565 | TotalAmt |
| Program Services | $382,327 | ProgramServicesAmt |
| Management And General | $514,238 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,790,588 | TotalAmt |
| Program Services | $14,594,917 | ProgramServicesAmt |
| Management And General | $3,195,671 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,157 | TotalAmt |
| Program Services | $825,974 | ProgramServicesAmt |
| Management And General | $163,183 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,894,375 | TotalAmt |
| Program Services | $3,042,807 | ProgramServicesAmt |
| Management And General | $851,568 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,516 | TotalAmt |
| Management And General | $34,516 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,957 | TotalAmt |
| Management And General | $181,957 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,986 | TotalAmt |
| Program Services | $10,986 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,377,542 | TotalAmt |
| Program Services | $7,691,216 | ProgramServicesAmt |
| Management And General | $686,326 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,696 | TotalAmt |
| Program Services | $33,047 | ProgramServicesAmt |
| Management And General | $35,649 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,094,168 | TotalAmt |
| Program Services | $532,607 | ProgramServicesAmt |
| Management And General | $561,561 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,012,354 | TotalAmt |
| Program Services | $905,984 | ProgramServicesAmt |
| Management And General | $106,370 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,101,063 | TotalAmt |
| Program Services | $887,631 | ProgramServicesAmt |
| Management And General | $213,432 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,279 | TotalAmt |
| Program Services | $98,658 | ProgramServicesAmt |
| Management And General | $40,621 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,546 | TotalAmt |
| Program Services | $89,355 | ProgramServicesAmt |
| Management And General | $39,191 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,194,311 | TotalAmt |
| Program Services | $1,726,618 | ProgramServicesAmt |
| Management And General | $467,693 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $986,318 | TotalAmt |
| Program Services | $290,660 | ProgramServicesAmt |
| Management And General | $695,658 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Pharmacy Expense | $5,531,964 | $5,531,964 | |
| Medical Supplies | $2,542,986 | $2,542,525 | $461 |
| License and Dues | $477,212 | $187,123 | $290,089 |
| Food | $284,265 | $279,345 | $4,920 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,855 | TotalAmt |
| Program Services | $172,761 | ProgramServicesAmt |
| Management And General | $244,094 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,153,703 | TotalAmt |
| Program Services | $39,826,505 | ProgramServicesAmt |
| Management And General | $8,327,198 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,172 | BOYAmt |
| EOY | $1,784 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,332,443 | BOYAmt |
| EOY | $13,506,519 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,514,797 | BOYAmt |
| EOY | $5,694,624 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $940,982 | BOYAmt |
| EOY | $886,230 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $513,459 | BOYAmt |
| EOY | $164,981 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,524,843 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $31,477,290 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,569,119 | BOYAmt |
| EOY | $13,047,553 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,434,101 | BOYAmt |
| EOY | $3,987,683 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,110,874 | BOYAmt |
| EOY | $1,137,581 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,803,857 | BOYAmt |
| EOY | $2,955,560 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,220,804 | BOYAmt |
| EOY | $41,382,515 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,434,799 | BOYAmt |
| EOY | $3,543,450 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,217,299 | BOYAmt |
| EOY | $2,923,084 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,661 | BOYAmt |
| EOY | $1,142,666 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,729,759 | BOYAmt |
| EOY | $7,609,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,774,817 | BOYAmt |
| EOY | $32,863,186 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $716,228 | BOYAmt |
| EOY | $910,129 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,491,045 | BOYAmt |
| EOY | $33,773,315 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,220,804 | BOYAmt |
| EOY | $41,382,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,690,124 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $398,245 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $193,901 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,986 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,986 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The amount of Schedule C, Part II-b, line 1I represents the lobbying portion of dues paid to the Missouri Hospital Association and American Hospital Association. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $268,115 | OtherCostOrOtherBasisAmt |
| Book Value | $268,115 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,875,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,095,812 | DepreciationAmt |
| Book Value | $8,779,413 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,715,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,861,691 | DepreciationAmt |
| Book Value | $2,854,118 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,665,694 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,519,787 | DepreciationAmt |
| Book Value | $1,145,907 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,047,553 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Beneficial Interest in Foundation | $910,129 |
| Estimated Third-party payor settlements | $1,208,214 |
| Other Accounts Receivable | $591,152 |
| Finance Lease ROU asset | $246,065 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,955,560 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third-Party Payor Settlements | $560,279 |
| Construction Payable | $582,387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,142,666 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $50,454,455 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $398,245 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $212,383 | OtherRevenueAmt |
| Revenue Not Reported | $610,628 | RevenueNotReportedAmt |
| Revenue Subtotal | $49,843,827 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $49,843,827 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $48,172,185 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $18,482 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $18,482 | ExpensesNotReportedAmt |
| Expenses Subtotal | $48,153,703 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $48,153,703 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Change in beneficial interest of Foundation 193,901. Rental Expenses 18,482. |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses 18,482. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $356,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $356,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,889,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,260,319 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $629,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,245,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,260,319 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $985,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,998,298 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,261,658 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,736,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13990 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,998,298 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,261,658 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,736,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,243,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,521,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,721,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $845,662 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $138,689 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,153,307 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,147,708 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,599 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carroll County Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 North Jefferson St | AddressLine1Txt |
| City | Carrollton | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 210-58 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 3 provider based clinics | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carroll County Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | carrollcountyhospital.org/community/community-health-needs-assessment | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | carrollcountyhospital.org/community/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | carrollcountyhospital.org/patients/financial-assistance-policy | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | carrollcountyhospital.org/patients/financial-assistance-policy | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | carrollcountyhospital.org/patients/financial-assistance-policy | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Carroll County Memorial Hospital | Part V, Section B, Line 5: The community health needs assessment was conducted through a partnership with the Carroll County Health Department. The CHNA community survey consisted of 36 questions offered electronically and on paper. The CHNA survey opened on February 9, 2024, and was closed on March 10, 2024. Overall, 335 surveys were completed. The aggregated and analyzed results were provided as a primary data source during the community forum and were an important part of the prioritization process when identifying new health needs priorities. The community forum consisted of community members that represented the medically underserved, low-income, and minority populations in the community served by the hospital. The organizations included: MVCAA, HELP Services, HCC Network (CHW), Burrell Behavioral Health, Sheriff/Probation & Parole, Ministerial alliance/community faith organizations, public schools, pharmacy partners, and others regularly serving low income, uninsured/underinsured, seniors, and youth at risk. |
| Carroll County Memorial Hospital | Part V, Section B, Line 6b: The CHNA was conducted in collaboration with the Carroll County Health Department and supported by Quality Works (Missouri Hospital Association subsidiary) for technical assistance. |
| Carroll County Memorial Hospital | Part V, Section B, Line 11: The community health needs assessment (CHNA) was completed in fiscal year 2025. The following needs were identified.1) Social Determinants/Drivers of Health Transportation, Housing, Internet Access, Poverty2) Mental Health & Substance Use3) Chronic Diseases & Obesity (heart disease, diabetes, cancer)The Implementation Strategy notes that while not every issue identified in the CHNA is included in the plan, CCMH and CCHD will continue to support broader efforts. The three selected priorities were chosen using magnitude, severity, disparities, community assets, and ability to leverage collaborations. Certain needs were not prioritized due to limited resources, existing community capacity to lead specific efforts, or stronger upstream impact of selected priorities (e.g., SDOH focus to influence multiple unmet needs).CCMH initiated and/or advanced multiple implementation activities across all three CHNA priorities - SDOH, Mental Health & Substance Use, and Chronic Disease & Obesity with concrete outputs (meetings held, materials distributed, screenings delivered, youth reached, employer engagement, extended clinic hours) and defined measures to monitor impact over the 2025-2027 cycle.Social Determinants of Health (Transportation, Housing, Internet Access, Poverty)- Formed an SDOH Focus Group as an extension of existing community task forces - Updated and improved the Community Resource Guide, creating QR code flyers and business cards and distributing at least 100 copies, with additional emphasis on digital sharing.- Maintained and distributed transportation resources through CCMH's Population Health team; provided transportation assistance through the CCMH Foundation's Hope Fund.- Continued implementation of the Mobile Integrated Health community paramedicine program, including early stage care coordination work with the Ambulance District and local pharmacies; collaborated with community partners addressing housing, utility assistance, and family support.- Supported community internet access through the Carrollton Public Library, which offered free internet and hot spot lending.- Expanded support for uninsured and underinsured residents through quarterly Community Health Worker assistance at the Health Department and through material support such as school shoe donations.Mental Health & Substance Use- Provided mental health and substance use prevention activities at First Friday events, including interactive booths and onsite health screenings in May 2025.- Delivered workforce ethics training to 70 local youth in collaboration with employers and the Chamber of Commerce in June 2025.- Initiated advisor outreach to school based leadership groups (FBLA, FCCLA, Star Leaders) to establish peer to peer mental health programming for upcoming school years.- Expanded behavioral health access pathways through partnerships with Burrell Behavioral Health, supported by new regional crisis center capacity.Chronic Disease & Obesity (Heart Disease, Diabetes, Cancer)- Delivered the Strength in Numbers community education series from February to May 2025, with 27 participants completing all four sessions and 40 completing at least one session.- Conducted 344 community blood pressure screenings at senior housing sites and the local grocery store as of March 2025.- Promoted healthy living environments through participation in community garden plots maintained by CCMH staff and through walking trail improvements supported by completed fundraising.- Provided employer sponsored wellness programming to 265 participants (employees and spouses) with a 98% engagement rate.- Expanded Medication Therapy Management efforts through pharmacy partnerships and supported additional preventive services such as monthly blood draws and chronic illness education.- Advanced Chronic Care Management enrollment and collaborated with the Ambulance District and behavioral health partners to reduce avoidable emergency room readmissions. |
| Carroll County Memorial Hospital | Part V, Section B, Line 13h: Catastrophic medical cases where a patient/guarantor who has suffered a catastrophic medical incident resulting in medical bills that exceed one's annual income, or if in any given three (3) consecutive months, whose medical bills exceed 20% of their gross income plus assets for the year; thereby concluding that one's unpaid hospital charges exceed their ability to pay. The balance owed of these patients will be subject to a sliding scale and partial assistance may be applied.In the event there is no evidence to support a patient's eligibility for financial assistance, Carroll County Memorial Hospital could use outside agencies in determining estimate income amounts for the basis of determining financial assistance eligibility and potential discount amounts. Once determined, due to the inherent nature of the presumptive circumstances, the only discount that can be granted is a 100% write-off of the account balance. Presumptive eligibility may be determined on the basis of individual life circumstances which may include: State-funded prescription programs; Homeless or received care from a homeless clinic; Participation in Women, Infants and Children programs (WIC); Food stamp eligibility; Subsidized school lunch program eligibility; Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down); Low income/subsidized housing is provided as a valid address; Patient is deceased with no known estate; and Patient has declared bankruptcyActive Out of State Medicaid |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Catastrophic medical cases where a patient/guarantor who has suffered a catastrophic medical incident resulting in medical bills that exceed one's annual income, or if in any given three (3) consecutive months, whose medical bills exceed 20% of their gross income plus assets for the year; thereby concluding that one's unpaid hospital charges exceed their ability to pay. The balance owed of these patients will be subject to a sliding scale and partial assistance may be applied.In the event there is no evidence to support a patient's eligibility for financial assistance, Carroll County Memorial Hospital could use outside agencies in determining estimate income amounts for the basis of determining financial assistance eligibility and potential discount amounts. Once determined, due to the inherent nature of the presumptive circumstances, the only discount that can be granted is a 100% write-off of the account balance. Presumptive eligibility may be determined on the basis of individual life circumstances which may include: State-funded prescription programs; Homeless or received care from a homeless clinic; Participation in Women, Infants and Children programs (WIC); Food stamp eligibility; Subsidized school lunch program eligibility; Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down); Low income/subsidized housing is provided as a valid address; Patient is deceased with no known estate; and Patient has declared bankruptcyActive Out of State Medicaid |
| Part I, Line 7: | Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. The cost for subsidized health services on line 7g was determined using the Medicare cost report. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. |
| Part III, Line 3: | The estimated amount of the Organization's implicit price concessions attributable to patients eligible under the Organization's charity care policy is calculated based on an approximate 16.4% of individuals living below the federal poverty level in the service area. |
| Part III, Line 4: | The footnote to the organization's financial statements that describes implicit price concessions is located in Footnote 1 on pages 12 and 13 of the attached financial statements. |
| Part III, Line 8: | Services are provided to patients under the Medicare program even though the hospital knows they will not recover all of the costs from providing the services. This program is considered subsidized by the hospital and other payors. Patients rely on these services for their health and well-being and are essential for their access to healthcare. Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.Hospital services remibursed on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $47,806.Medicare fee schedule revenue $37,639Medicare estimated costs of care relating to payment ($85,445) Net surplus (shortage) ($47,806) |
| Part III, Line 9b: | The Hospital's collection policy includes specific protection for patients eligible for financial assistance. At least 30 days before any referral to an external collection agency, the Hospital provides a written notice describing available payment options, explaining the availability of financial assistance and how to apply, and stating that the account may be referred to collections if unresolved. No extraordinary collection actions are initiated before 120 days from the first post discharge billing statement. The Hospital accepts and processes financial assistance applications for 240 days after the first post discharge billing statement, and all collection activity is suspended during the review of any application. Complete applications receive a determination within 30 days; incomplete applications receive written notice identifying missing information.The Hospital also evaluates patients for presumptive eligibility based on participation in certain assistance programs, homelessness, bankruptcy, residence in a Health Professional Shortage Area (HPSA), CHNA identified underserved status, or similar circumstances. Presumptively eligible patients may receive a 100% write off of account balances.In addition, an account may be designated as bad debt only after all collection procedures have been followed and all FAP protections have been applied. Before an account is classified as bad debt: (1) all third party payers must have adjudicated the claim; (2) applicable self pay discounts must be applied; (3) the patient must have been offered and subsequently defaulted on a reasonable payment plan; and (4) the patient must have been offered the opportunity to apply for financial assistance prior to any extraordinary collection actions. |
| Part VI, Line 2: | In addition to the triennial Community Health Needs Assessment (CHNA), the Hospital continuously assesses needs using the same framework as the CHNA. Throughout the year, CCMH reviews internal utilization and quality data (e.g., ED use, readmissions, access to primary care, behavioral health demand), Financial Assistance and Patient Advocate data on barriers to care, and social determinant indicators. CCMH gathers qualitative input via ongoing meetings with local public health, school districts, social service agencies, and community coalitions, as well as patient and caregiver feedback. The Hospital compares local indicators to state and national benchmarks used in the CHNA and applies the same prioritization criteria to identify emergent needs. Findings are reported to leadership and used to update implementation activities between CHNA cycles, ensuring services remain responsive to the community. |
| Part VI, Line 3: | The Hospital informs and educates patients about their eligibility for financial assistance and government programs through multiple methods. The Hospital posts conspicuous notices and summaries of its Financial Assistance Policy (FAP) in admissions areas, emergency department waiting areas, registration desks, and other locations where patients are likely to be present. Copies of the full policy, a plain language summary, and financial assistance applications are available at all registration points, at the Patient Advocate offices, by mail upon request, and on the Hospital's website.During the intake and registration process, patients receive information about the availability of financial assistance and contact information for obtaining help with the application process. The Hospital also includes a plain language summary of the FAP, along with financial assistance contact information, in patient billing statements and with certain discharge materials.Patient Advocates discuss with patients the availability of federal, state, and local government benefits, such as Medicaid, and assist them in applying when appropriate. All communication is provided in clear, easy to understand language, and staff proactively review whether patients may qualify for public assistance programs or the Hospital's FAP. |
| Part VI, Line 4: | Carroll County Memorial Hospital serves the residents of Carrollton, Missouri, the surrounding communities of Carroll County, and patients seen at its satellite clinics in Brunswick and Hale. The county is predominantly rural, with a 2024 population estimate of 8,414 residents, of which approximately 23% are age 65 and older, reflecting an aging population.The median age in Carroll County is 43.6-43.7 years, which is higher than state and national averages. The county's population is primarily White (approximately 93-95%).Economically, Carroll County has a median household income of approximately $61,712 and a per capita income of approximately $33,666-$35,161. Poverty affects about 12.9-13.7% of residents. These economic factors contribute to significant need for accessible healthcare and financial assistance services.The county contains roughly 4,380-4,416 housing units and 3,443-3,522 households, with most households consisting of approximately 2.4 persons. The median value of owner occupied housing is approximately $110,500. Educational attainment in Carroll County includes 89.7% of adults holding a high school diploma and 20.2% holding a bachelor's degree or higher.As a rural county with an aging population, modest household incomes, and above average poverty levels, Carroll County relies heavily on accessible medical care and financial assistance options. Carroll County Memorial Hospital provides essential services to this geographically dispersed and socioeconomically diverse population, helping ensure access to care regardless of ability to pay. |
| Part VI, Line 5: | Carroll County Memorial Hospital (CCMH) furthers its exempt purpose by promoting the health and well being of the communities it serves through governance structure, community responsive clinical services, public health initiatives, community partnerships, and reinvestment of surplus funds into healthcare access and quality.Community Based GovernanceA majority of the Hospital's governing body consists of individuals who reside within the Hospital's primary service area and who are not employees, contractors, or family members of such individuals. This community based board structure ensures that Hospital decisions reflect the needs, priorities, and concerns of local residents and supports the Hospital's charitable mission.Open Medical StaffCCMH extends medical staff privileges to all qualified physicians in its community who meet the Hospital's credentialing standards. This open staff approach expands patient access to care, increases clinical capacity, and enhances the availability of services for all individuals in the area.Reinvestment of Surplus FundsAny surplus revenue is reinvested directly into improving patient care, clinical services, facility upgrades, medical equipment, community health programming, and staff recruitment and retention. Surplus funds also support expanded access to behavioral health, preventive care initiatives, and technology improvements such as virtual visits and telehealth.Community Health Needs Assessment and ImplementationCCMH conducts a Community Health Needs Assessment (CHNA) every three years to evaluate community health priorities and develop targeted strategies to address identified needs. Current priorities include improving lifestyle behaviors, increasing access to care, and strengthening mental health resources for both youth and adults. Action plans are developed in partnership with community stakeholders and implemented throughout the service area.Mental Health and Substance Use InitiativesThrough participation in the Carroll County Coalition on Mental Health and Substance Use Disorder, CCMH advances several community wide strategies, including:- Increasing awareness of resources through community resource guides- Collaborating with local schools to identify at risk youth and provide support- Offering education and assistance for substance use disorder prevention and treatment- Providing psychiatric services and outpatient therapyImproving Access to Preventive and Primary CareTo expand healthcare access, especially for uninsured and under insured residents, CCMH:- Provides community education on preventive care and available services- Operates satellite clinics in surrounding communities- Supports the Nurse Navigator program to guide patients through the care continuum- Offers expanded telehealth and virtual visit options to overcome geographic and mobility barriersWellness, Rehabilitation, and Preventive ServicesCCMH operates the CCMH Wellness Centeran integrated rehabilitation and fitness facility that includes an indoor pool, sauna, hot tub, walking track, and exercise equipment. Certified therapists and trainers provide evidence based physical therapy, occupational therapy, cardiac rehabilitation to support overall community well-being.Emergency and Essential ServicesThe Hospital operates an emergency department open to all individuals regardless of insurance status or ability to pay, ensuring critical access to lifesaving care in a rural community with limited alternative options.Community Benefit and Public Program ParticipationCCMH participates in Medicare, Medicaid, and other government sponsored programs, ensuring access to healthcare for low income and medically vulnerable individuals. The Hospital also provides financial assistance and charity care for eligible patients under its Financial Assistance Policy.Education, Workforce Development, and Community EngagementThe Hospital supports education and training of healthcare professionals through student clinical rotations, partnerships with regional schools and colleges, and continuing education opportunities for staff. CCMH also encourages community involvement through volunteer opportunities, public health events, and collaboration with advisory groups and local organizations.Commitment to Rural HealthcareAs one of the primary healthcare providers in a predominantly rural county, CCMH plays a critical role in maintaining local access to comprehensive medical care. The Hospital continually evaluates emerging needs and adapts services to ensure that all residentsregardless of age, income, or health statushave access to reliable, high quality healthcare close to home. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gregory Hubbard MD | ||||||||||||||
| Surgeon | $703,635 | $0 | $20,753 | $0 | $2,709 | $0 | $27,600 | $0 | $21,488 | $0 | $776,185 | $0 | $0 | $0 |
| Richard Smith MD | ||||||||||||||
| Physician | $393,615 | $0 | $123,243 | $0 | $1,077 | $0 | $27,600 | $0 | $11,412 | $0 | $556,947 | $0 | $0 | $0 |
| Jeremy Stayton MD | ||||||||||||||
| Surgeon | $464,189 | $0 | $25,401 | $0 | $504 | $0 | $8,980 | $0 | $15,873 | $0 | $514,947 | $0 | $0 | $0 |
| Andrew Horine MD | ||||||||||||||
| Physician | $366,111 | $0 | $81,557 | $0 | $224 | $0 | $27,887 | $0 | $36,139 | $0 | $511,918 | $0 | $0 | $0 |
| Amy North DO | ||||||||||||||
| Physician | $276,914 | $0 | $53,875 | $0 | $0 | $0 | $14,998 | $0 | $33,911 | $0 | $379,698 | $0 | $0 | $0 |
| Timothy Reid MD | ||||||||||||||
| Member/Physician | $239,158 | $0 | $64,827 | $0 | $333 | $0 | $25,087 | $0 | $34,228 | $0 | $363,633 | $0 | $0 | $0 |
| Scott Thoreson | ||||||||||||||
| CEO | $239,890 | $0 | $100 | $0 | $1,536 | $0 | $19,507 | $0 | $21,409 | $0 | $282,442 | $0 | $0 | $0 |
| Lesley Delaney | ||||||||||||||
| CFO | $144,836 | $0 | $25,100 | $0 | $125 | $0 | $14,323 | $0 | $33,602 | $0 | $217,986 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 5 | A portion of physician compensation was calculated monthly using a percentage of reimbursement. |
| Part I, Line 7 | Lesley Delaney, CFO, received a discretionary bonus. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | No longer operating Home Health Agency. |
| Form 990, Part VI, Section A, line 1a | The Executive Committee consists of the elected officers and two other members of the Board appointed by the President. The Executive Committee has the power to transact all regular business of the Hospital during the interim between the meetings of the Board, provided that any action taken does not conflict with the policies and expressed wishes of the Board, and that they refer all matters of major importance to the Board. |
| Form 990, Part VI, Section B, line 11b | The final Form 990 with all required schedules is provided to the Board of Directors prior to filing with the IRS. The CEO and CFO review the Form 990. |
| Form 990, Part VI, Section B, line 12c | The board sets the conflict of interest policy and administration is charged with assuming that compliance is maintained. The conflict of itnerest policy is reviewed annually and each board member signs a conflict of interest disclosure form. If a conflict arises the conflicted person does not take part in the vote on the issue. |
| Form 990, Part VI, Section B, line 15 | Compensation for the CEO and CFO is determined using the data from an annual compensation survey sponsored by Missouri Hospital Association and Kansas Hospital Association as well as compensation data from Medical Group Management Association. Compensation for the CEO is reviewed by the board and maintained in the employment file. Compensation for the CFO is reviewed by the CEO and CHRO and maintained in the employment file. The process was completed in June 2025. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest policy, and financial statements are made available upon request. |
| Form 990, Part IX, line 11g | Other Contract Services: Program service expenses 7,691,216. Management and general expenses 686,326. Fundraising expenses 0. Total expenses 8,377,542. |
| Form 990, Part XI, line 9: | Change in beneficial interest - Foundation 193,901. |
| Part XII, line 2c | The board of directors assumes the responsibility for oversight of the audit of its financial statements and the selection of an independent accountant. This process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCMH Child Care Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1202 N US Hwy 65 | AddressLine1Txt |
| City | Carrollton | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 824361105 | EIN |
| Primary Activities | Child Care | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carroll County Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |