2026-05-13T12:32:50+00:00 2025-06-30 440160260 Forvis Mazars LLP 1201 Walnut Street Suite 1700 Kansas City MO 641062246 990 2024-07-01 430715842 GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION GENE 6602582222 130 E LOCKLING ST BROOKFIELD MO 64628 Karla Clubine CEO 6602581141 2026-05-13 true Michael Engle P00482834 8162216300 2026-05-16 2024 2025-03-06 01:10:19Z KARLA CLUBINE 130 E LOCKLING ST BROOKFIELD MO 64628 23599675 false X WWW.PHSMO.ORG X 1955 MO PROVIDE COMPASSIONATE, HIGH-QUALITY HEALTHCARE TO THE COMMUNITIES WE SERVE, ENSURING THAT EVERY PATIENT RECEIVES PERSONALIZED CARE IN A SAFE, SUPPORTIVE ENVIRONMENT. 9 6 190 20 0 0 373491 1114115 22300156 22245756 151159 118541 32777 121263 22857583 23599675 5875 7575 0 10297298 10150304 0 0 14420896 13059926 24724069 23217805 -1866486 381870 13118556 12339886 8066707 6906167 5051849 5433719 PROVIDE COMPASSIONATE, HIGH-QUALITY HEALTHCARE TO THE COMMUNITIES WE SERVE, ENSURING THAT EVERY PATIENT RECEIVES PERSONALIZED CARE IN A SAFE, SUPPORTIVE ENVIRONMENT. false false 14340130 6560 19264825 OUTPATIENT SERVICES WITH APPROXIMATELY 27,281 REGISTRATIONS. THIS INCLUDES 4,900 EMERGENCY ROOM VISITS. 1324723 606 1779660 INPATIENT ACUTE CARE SERVICES WITH 135 INPATIENT ADMISSIONS AND 65 SWINGBED ADMISSIONS. 894188 409 1201271 TWO PROVIDER BASED RURAL HEALTH CLINICS WITH 10,618 VISITS. 16559041 true false false true false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false true false false false false false false false false false false false true 63 0 true 190 true false false false false false false false false false false false false X 9 6 false true false false true true true true true false false false true true true true true true false false false false MO X KARLA CLUBINE 6602581141 130 E LOCKLING ST BROOKFIELD MO 64628 DAVID SHAW DIRECTOR/SECRETARY 1.0 0.0 X X 0 0 0 GAIL TURNER DIRECTOR/TREASURER 1.0 0.0 X X 0 0 0 JIM ELLIOTT DIRECTOR/VICE PRESIDENT 1.0 0.0 X X 0 0 0 WILLIAM THUDIUM DIRECTOR/PRESIDENT 1.0 0.0 X X 0 0 0 BRIAN WINN DIRECTOR 1.0 0.0 X 0 0 0 DR BRIAN KEVIN KNOWLES DIRECTOR/PHYSICIAN 40.0 0.0 X 264696 0 0 GARY ROUTLEDGE DIRECTOR 1.0 0.0 X 0 0 0 JOE SMITH DIRECTOR 1.0 0.0 X 0 0 0 MARK CLEVELAND DIRECTOR 1.0 0.0 X 0 0 0 DAVID CHICHOKI CFO BEG 03/25 40.0 0.0 X 0 0 0 KARLA CLUBINE CEO 40.0 0.0 X 0 0 0 MIRANDA FISHER CFO END 02/25 40.0 0.0 X 83814 0 11701 BRIAN CASEBOLT DIRECTOR OF PHARMACY 40.0 0.0 X 149500 0 28142 DR OGE CHUKWU PHYSICIAN 40.0 0.0 X 42468 0 14575 GARY FITE DIRECTOR OF PHYSICAL THERAPY 40.0 0.0 X 147123 0 20793 IRENE PARSONSON NURSE PRACTITIONER 40.0 0.0 X 134441 0 15596 MEGAN TSCHANNEN NURSE PRACTITIONER 40.0 0.0 X 129500 0 13296 951542 0 104103 9 false true false MISSOURI CLINICAL PARTNERS 5000 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 PHYSICIAN STAFFING 2361383 RURAL PHYSICIANS GROUP 5575 DTC PKWY GREENWOOD VILLAGE CO 80111 PHYSICIAN STAFFING 871384 CERNER PO BOX 203448 DALLAS TX 75320 EMR 740275 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75320 PHYSICIAN SERVICES 612658 HUBER & ASSOCIATES 1400 CREEK TRAIL DR JEFFERSON CITY MO 65109 IT CONSULTING 446211 12 1100000 14115 1114115 NET PATIENT SERVICE REVENUE 622100 21055193 21055193 340B REVENUE 622100 1190563 1190563 0 0 0 0 22245756 101809 101809 12199 12199 0 12199 12199 16732 16732 0 16732 16732 MISCELLANEOUS INCOME 900099 91927 91927 CAFETERIA 722514 17137 17137 0 0 0 0 109064 23599675 22245756 0 239804 X 7575 7575 408561 408561 191020 130827 60193 7549705 5487691 2062014 93786 71570 22216 1337943 1020509 317434 569289 389177 180112 195000 195000 62918 62918 107349 107349 7206761 5978630 1228131 0 45748 11304 34444 493056 194157 298899 341755 17803 323952 5131 2352 2779 15099 7834 7265 150098 45300 104798 1316749 397395 919354 350772 0 350772 MEDICAL SUPPLIES 1609767 1609767 0 0 MEDICAID PAYMENTS 651092 651092 0 0 REPAIRS & MAINTENANCE 210501 38981 171520 0 SPECIAL EVENTS 126012 2942 123070 0 172118 85574 86544 0 23217805 16559041 6658764 0 0 580 3755519 2578721 0 0 3224780 3191430 0 0 0 0 29695 106013 161163 149421 285974 219323 24865713 20651077 5292227 4214636 0 0 0 0 369198 1879762 13118556 12339886 2491673 2287709 0 2161249 1059044 0 0 0 0 0 0 0 3215063 2811417 198722 747997 8066707 6906167 X 5037169 5418498 14680 15221 5051849 5433719 13118556 12339886 381870 0 X false true true true true X false false false false false true 19965 false false false 19965 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY FOR FISCAL YEAR ENDING JUNE 30, 2025, $19,965 OF DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION WERE USED FOR LOBBYING AND ADVOCACY EXPENDITURES. 107129 107129 14528959 11661088 2867871 0 0 0 10131781 8989989 1141792 97844 0 97844 4214636 CSV Life Insurance 176757 Right-Of-Use Assets 1703005 Interest Receivable 1879762 Federal Income Taxes RIGHT-OF-USE LIABILITIES 747997 747997 23579285 0 0 23579285 20390 20390 23599675 23197415 0 0 23197415 20390 20390 23217805 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements COLLECTION FEES - 20390 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements COLLECTION FEES - 20390 true true X true X true X 91933 20 91913 0.00396 3757953 1875020 1882933 0.08110 0 0 0 0.0 0 0 3849886 1875040 1974846 0.08506 44239 36525 7714 0.00033 10971 0 10971 0.00047 0 0 0 0.0 0 0 0 0.0 7775 0 7775 0.00033 0 0 62985 36525 26460 0.00114 0 0 3912871 1911565 2001306 0.08620 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1546886 299954 8607755 8554259 53496 X true true 1 1 GENERAL JOHN J PERSHING MEM HOSPITAL 130 E LOCKLING AVE PO BOX 408 BROOKFIELD MO 64628 WWW.PHSMO.ORG 198-56 X X X X COMMUNITY MEDICAL ASSOCIATION APPLEGATE MEDICAL GROUP MEADVILLE MEDICAL CLINIC GENERAL JOHN J PERSHING MEM HOSPITAL 1 false false true X X X X X X X X X 24 true false false true X https://phsmo.org/wp-content/uploads/2025/07/PMHS-24-25-Community-Health-Needs-Assessment-and-Improv X true 24 true https://phsmo.org/wp-content/uploads/2025/07/PMHS-24-25-Community-Health-Needs-Assessment-and-Improv false true X 200.0 300.0 X X X true true X X X true X HTTPS://PHSMO.ORG/FINANCIAL-ASSISTANCE X HTTPS://PHSMO.ORG/FINANCIAL-ASSISTANCE X HTTPS://PHSMO.ORG/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL. MANY LOCAL STAFF MEMBERS, BOARD MEMBERS, AND HOSPITAL AUXILIARY WERE INVOLVED IN THE CHNA PROJECT, ALONG WITH COLLABORATION WITH THE LINN COUNTY HEALTH DEPARTMENT. THE CHNA TOWN HALL MEETING HAD 38 STAKEHOLDERS AND COMMUNITY LEADERS PRESENT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL. MANY FACTORS REMAINED UNCHANGED BETWEEN THE 2019 AND 2022 COMMUNITY HEALTH NEEDS ASSESSMENTS. FINDINGS INDICATED SEVERAL VULNERABILITIES IN HEALTHCARE SERVICES PROVIDED TO THE COMMUNITY AND UNFAVORABLE TRENDS IN HEALTHCARE FACTORS. UNEMPLOYMENT IS A LARGE FACTOR CONTRIBUTING TO INDIVIDUALS LACKING THE FINANCIAL CAPABILITY TO ACCESS HEALTHCARE. INCREASING RATES OF UNEMPLOYMENT WILL RAISE THE NEED FOR COMMUNITY HEALTH CENTERS AND ADDITIONAL SAFETY-NET CLINICS IN THE COUNTY. IN TERMS OF ECONOMIC STATUS, LINN COUNTY IS WORSE OFF IN RELATION TO THE REST OF MISSOURI AND THE UNITED STATES AND HAS A HIGH PERCENTAGE OF FAMILIES BELOW THE POVERTY LEVEL. ANALYZING THE VARIOUS CLASSES OF WORKERS GIVES AN IDEA AS TO THE AVAILABILITY OF HEALTH INSURANCE TO THE LABOR FORCE. THE 2022 CHNA INDICATED THAT A LARGE PERCENTAGE OF LINN COUNTY WORKERS ARE EMPLOYED IN THE EDUCATION, MANUFACTURING, AND RETAIL INDUSTRIES. THE 2022 CHNA INDICATED LINN COUNTY BOASTS A LARGER PERCENTAGE OF SELF-EMPLOYED WORKERS THAN BOTH MISSOURI AND THE UNITED STATES. HAVING A HIGH NUMBER OF SELF-EMPLOYED WORKERS COULD MEAN THAT PORTION OF THE POPULATION HAS TO PROVIDE THEIR OWN HEALTH INSURANCE AND THE INCREASINGLY HIGH PREMIUMS AND DEDUCTIBLES COULD BE A DETERRENT. IT WOULD BE EASY FOR ONE TO FOCUS ON THE OBVIOUS HEALTHCARE FACTORS AFFECTING THE CITIZENS OF LINN COUNTY SUCH AS OBESITY, HEART DISEASE, DIABETES, LACK OF EXERCISE, AND LACK OF ACCESS TO RECREATIONAL LOCATIONS, AS THE NEEDS TO ADDRESS IN THE COUNTY; HOWEVER, IT WOULD BE A DISSERVICE TO THE CITIZENS AND THE COMMUNITY IF PERSHING HEALTH SYSTEM DID NOT CONSIDER THE SIGNIFICANT IMPACT THAT THE LEVEL OF POVERTY PLAYS IN ALL OF THESE ISSUES. THIS WOULD LEAD ONE TO QUESTION IF THE TRUE ISSUE IS RELATED TO THE SIGNIFICANT NUMBER OF CITIZENS WHO LIVE IN POVERTY IN LINN COUNTY AS THE PRIMARY CAUSE FOR MANY, IF NOT ALL, OF THE HEALTH NEEDS IDENTIFIED. RESIDENTS LIVING IN POVERTY REGARD HEALTH NEEDS AS SIGNIFICANTLY LESS IMPORTANT, ESPECIALLY WHEN TRYING TO MEET BASIC NEEDS TO SURVIVE. HOW CAN A PERSON LIVING IN POVERTY BE EXPECTED TO ADDRESS OBESITY, HEART DISEASE, AND DIABETES IF THEY ARE UNABLE TO ADDRESS THE BASIC NEEDS OF THEIR HOUSEHOLD SUCH AS RUNNING WATER, FOOD, RENT, AND UTILITIES WITHOUT STRUGGLES? UNLESS OR UNTIL POVERTY IS ADDRESSED, CHRONIC ILLNESS WILL ALWAYS BE SIGNIFICANT FOR COUNTY RESIDENTS. POVERTY ISSUES RELATED TO HEALTHCARE WILL IMPACT THE QUALITY OF CARE THAT CITIZEN'S ACCESS, WHICH IN RETURN IMPACT THE OVERALL HEALTH OF THE CITIZENS. LINN COUNTY RANKS 33RD IN HEALTH OUTCOMES ACCORDING TO COUNTY HEALTH RANKINGS AND 77TH IN HEALTH FACTORS FOR THE STATE OF MISSOURI. NEGATIVE TRENDS IN ADULT OBESITY, HEART DISEASE, AND PHYSICAL INACTIVITY ARE ALL HIGHER THAN MISSOURI AND NATIONAL AVERAGES AND CONTRIBUTE TO AN INCREASING PREMATURE DEATH RATE FOR THE COUNTY. HOWEVER, UNTIL POVERTY IS ADDRESSED, ANY INTERVENTION APPLIED TO THESE CHRONIC ISSUES WILL HAVE VERY LITTLE IMPACT. ANOTHER AREA OF CONCERN IDENTIFIED WAS LACK OF RECREATIONAL AREAS FOR EXERCISE. MANY CITIZENS WHO LIVE IN POVERTY WOULD BE QUICK TO SAY THAT WHETHER OR NOT THEY HAVE ACCESS TO RECREATIONAL AREAS IS NOT A PRIORITY FOR THEM. AFTER SPEAKING WITH COMMUNITY HEALTHCARE SERVICE PROVIDERS, SEVERAL WEAKNESSES IN THE PROVISION OF SERVICES TO THE COMMUNITY WERE REVEALED. TO HELP ADDRESS THE CHILDHOOD POVERTY PERSHING HOPSITAL OFFERED FREE MEALS TO CHILDREN THROUGH THE SUMMER FOOD SERVICE PROGRAM FROM JUNE TO AUGUST. PERSHING SPONSORED A CANNED FOOD DRIVE AT CHRISTMAS FOR THE LOCAL FOOD BANK, AS WELL AS A CLOTHING DRIVE FOR LOCAL FOSTER CHILDREN. PERSHING ALSO CONTINUES TO OFFER REDUCED COST MEDICAL SCREENINGS DURING OUR ANNUAL HEALTH FAIR, WHERE COMMUNITY MEMBERS CAN ACCESS BASIC LABS AT REDUCED COST. PERSHING CONTINUES TO OFFER FREE HEALTH AND WELLNESS CHECKS FOR ALL SCHOOL-AGED CHILDREN DURING THE MONTHS OF MAY TO AUGUST. 2 COMMUNITY MEDICAL ASSOCIATES 130 E LOCKLING AVE BROOKFIELD MO 64628 PROVIDER BASED RURAL HEALTH CLINIC MEADVILLE MEDICAL CLINIC 101 E HAYWARD MEADVILLE MO 64659 PROVIDER BASED RURAL HEALTH CLINIC Schedule H, Part I, Line 3c MEDICAL INDIGENCY, UNDERINSURANCE STATUS AND RESIDENCY ARE FACTORS USED IN ELIGIBILITY CRITERIA FOR PROVIDING FREE AND DISCOUNTED CARE AS EXPLAINED IN THE FINANCIAL ASSISTANCE POLICY. Schedule H, Part I, Line 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF SCHEDULE H, PART I, LINE 7 IS A COST-TO-CHARGE RATIO. Schedule H, Part I, Line 7 COLUMN F THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,546,886. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE GROSS BAD DEBT EXPENSE BEING REPORTED IS ACTUAL BAD DEBTS WRITTEN OFF PER OUR POLICY PLUS ACCRUAL OF ESTIMATES ON ACCOUNTS RECEIVABLE. OUR FINANCIAL ASSISTANCE POLICY ALLOWS FOR INDIGENT CARE DISCOUNTS. ANY PAYMENT ON A PREVIOUS BAD DEBT IS RECORDED AS A RECOVERY ON OUR BOOKS, IN A SEPARATE RECOVERY ACCOUNT. Schedule H, Part III, Line 3 Bad Debt Expense Methodology NET BAD DEBT $1,546,886 TIMES COST-TO-CHARGE RATIO FROM AUDITED FINANCIAL STATEMENTS (PAGES 29 AND 31) OR 58.76% MULTIPLIED BY COMPUTED 33% COLLECTION SUPERVIOR'S ESTIMATE OF BAD DEBTS THAT COULD BE CHARITY IF THE PERSONS FILLED OUT OUR FORMS COMPLETELY. THIS EQUALS $1,546,886 X 58.76% X 33%. ESTIMATE EQUALS $299,954. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PLEASE SEE NOTE 1 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING THE ORGANIZATION'S BAD DEBT EXPENSE. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance OUR FINANCIAL ASSISTANCE POLICY AND COLLECTION POLICY ARE APPLIED TO ALL TYPES OF PATIENTS. Schedule H, Part V, Section B, Line 16a FAP website - GENERAL JOHN J. PERSHING MEM HOSPITAL: Line 16a URL: HTTPS://PHSMO.ORG/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - GENERAL JOHN J. PERSHING MEM HOSPITAL: Line 16b URL: HTTPS://PHSMO.ORG/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - GENERAL JOHN J. PERSHING MEM HOSPITAL: Line 16c URL: HTTPS://PHSMO.ORG/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 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 AND FROM VARIOUS ONGOING PATIENT SATISFACTION SURVEYS. SUCH SURVEYS ARE REPORTED AT BOARD MEETINGS AND DISTRIBUTED TO ALL HOSPITAL DEPARTMENTS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY (FAP) IS ON OUR WEBSITE. THE FAP, CHARITY CARE AND COLLECTION (PAYMENT ARRANGEMENTS) INFORMATION IS AVAILABLE THROUGH OUR COLLECTION PERSONNEL AND OTHERS AT PERSHING HOSPITAL AND THROUGH OUR RURAL HEALTH CLINICS COMMUNITY MEDICAL ASSOCIATES AND MEADVILLE MEDICAL CLINIC. FURTHER, WE PRINT A REFERENCE TO OUR FAP POLICY ON THE FRONT OF EACH PATIENT BILLING STATEMENT SENT OUT. SOCIAL SERVICES, THROUGH THE ASSESSMENT/CONSULTATION PROCESS, IDENTIFIES AND ASSISTS IN THE APPLICATION PROCESS. Schedule H, Part VI, Line 4 Community information PERSHING HEALTH SYSTEM SERVES LINN COUNTY (POPULATION OF AROUND 12,000) AND SURROUNDING AREA. IT IS MADE UP OF RURAL COMMUNITIES WITH A MIXTURE OF BUSINESSES AND AGRICULTURE. Schedule H, Part VI, Line 5 Promotion of community health PERSHING HEALTH SYSTEM CONSISTS OF PERSHING MEMORIAL HOSPITAL AND TWO PROVIDER BASED RURAL HEALTH CLINICS: 1) COMMUNITY MEDICAL ASSOCIATES, LOCATED WITHIN THE HOSPITAL AND OPEN SIX DAYS A WEEK AND 2) MEADVILLE MEDICAL CLINIC, 12 MILES FROM THE HOSPITAL, SERVES ONE OF THE SMALL COMMUNITIES WITHIN OUR SERVICE AREA WITH A NURSE PRACTITIONER. ALL OF THE PROVIDER-BASED RURAL HEALTH CLINICS PROVIDED CLINICAL ROTATION SITES FOR MEDICAL STUDENTS AND NURSE PRACTITIONERS AND PROVIDED JOB SHADOWING AND CLINICAL ROTATIONS TO THE AREA CAREER CENTERS. THEY ALSO PROVIDED FREE SPORTS PHYSICALS/HEALTHY CHILD EXAMS FOR ALL LINN COUNTY CHILDREN BETWEEN THE AGES OF 3 AND 18 AND/OR HIGH SCHOOL SENIOR FROM MAY TO AUGUST. NURSE PRACTITIONERS PROVIDE WELL CHILD EXAMS YEARLY AT THE LINN COUNTY HEALTH DEPARTMENT. COMMUNITY MEDICAL ASSOCIATES ALSO ASSISTS WITH LOCAL EMPLOYERS IN CONDUCTING BMI, BODY MEASUREMENTS, AND HEIGHT/WEIGHT ASSESSMENTS TO HELP PROMOTE A HEALTHY LIFESTYLE, AND IN TURN, EMPLOYEES RECEIVE A REDUCTION IN INSURANCE PREMIUMS. HOSPITAL WEEK, HELD ANNUALLY AT THE LOCAL (BROOKFIELD) PARK BAPTIST CHURCH AND AT MARCELINE BETHANY BAPTIST CHURCH, PROCESSED BLOOD DRAWS. OTHER HEALTH FAIRS AND EVENTS WERE CONDUCTED AT OTHER BUSINESSES IN OUR SERVICE AREA. THE HOSPITAL HELD COMMUNITY SERVICE PROJECTS DURING THE YEAR. PERSHING HEALTH SYSTEM COLLABORATED WITH PERSHING STAFF ARE ACTIVELY INVOLVED (AND DONATE THEIR TIME) IN A MONTHLY MEETING OF THE FOLLOWING GROUPS: LINN COUNTY C-2000, MINISTRIES IN LINN COUNTY, AND COMMUNITY CONNECTIONS. THE FOCUS OF ALL GROUPS IS TO IMPROVE THE LIVES OF CITIZENS IN LINN COUNTY BY ADDRESSING SUICIDE, COMMUNITY POVERTY, AND HEALTHCARE ISSUES. PERSHING HEALTH SYSTEM PARTICIPATED IN A MOM'S BREAKING THE SILENCE COMMUNITY EVENT. THE PURPOSE OF THE EVENT WAS TO PROVIDE SUICIDE AWARENESS AND HEALTHY MENTAL HEALTH COPING SKILLS TO THE COMMUNITY. PERSHING HEALTH SYSTEM PARTICIPATED IN PARADE ACTIVITIES AND SPONSORED THE LOCAL PINK OUT GAME, WHERE CANCER PREVENTION MATERIAL WAS PROVIDED TO THOSE COMMUNITY MEMBERS ATTENDING. Schedule H, Part VI, Line 7 State filing of community benefit report MO false false false false false false false false false DR BRIAN KEVIN KNOWLES DIRECTOR/PHYSICIAN 264696 0 0 0 0 0 0 0 0 0 264696 0 0 0 BRIAN CASEBOLT DIRECTOR OF PHARMACY 149500 0 0 0 0 0 2980 0 25162 0 177642 0 0 0 GARY FITE DIRECTOR OF PHYSICAL THERAPY 147123 0 0 0 0 0 2939 0 17854 0 167916 0 0 0 IRENE PARSONSON NURSE PRACTITIONER 134441 0 0 0 0 0 2468 0 13128 0 150037 0 0 0 Schedule J, Part I, Line 3 CEO COMPENSATION THE CEO'S COMPENSATION IS PAID BY BOONE HOSPITAL. BOONE HOSPITAL HAS A WRITTEN EMPLOYMENT CONTRACT WITH KARLA CLUBINE. KARLA CLUBINE'S COMPENSATION IS INCLUDED IN THE MANAGEMENT FEE TO BOONE HOSPITAL AND THE MANAGEMENT FEE IS APPROVED BY THE FILING ORGANIZATION'S BOARD OF DIRECTORS. JENNIFER THUDIUM DAUGHTER-IN-LAW OF WILLIAM THUDIUM, A DIRECTOR OF PERSHING MEMORIAL HOSPITAL. 114873 COMPENSATION false REEVA HARRISON STEP-DAUGHTER OF JOE SMITH, A DIRECTOR OF PERSHING MEMORIAL HOSPITAL. 76147 COMPENSATION false Form 990, Part VI, Line 7a & 7B - ELECTING MEMBERS OF GOVERNING BODY & DECISIONS REQUIRING APPROVAL MEMBERS OF THE CORPORATION HAVE THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF MEMBERSHIP. Form 990, Part VI, Line 15a & 15b - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGAMENT OFFICIALS THE CEO'S COMPENSATION IS INCLUDED IN THE MANAGEMENT FEE TO BOONE HOSPITAL. BOONE HOSPITAL DETERMINES AND PAYS HER COMPENSATION. THE MANAGEMENT FEE IS APPROVED BY THE FILING ORGANIZATION'S BOARD OF DIRECTORS. THE CEO DETERMINES THE CFO'S COMPENSATION ANNUALLY. COMPENSATION SURVEYS ARE USED ANNUALLY TO EVALUATE COMPENSATION LEVELS. THE CEO CONDUCTS AN ANNUAL EVALUATION OF KEY MANAGEMENT STAFF. Form 990, Part VI, Line 3 Delegation of management duties PERSHING MEMORIAL HOSPITAL HAS A MANAGEMENT AGREEMENT WITH BOONE HOSPITAL FOR THE OPERATION AND MANAGEMENT OF THE HOSPITAL. THE MANAGEMENT AGREEMENT PROVIDES DAILY OPERATING AUTHORITY TO THE MANAGEMENT COMPANY AND CEO SERVICES. KARLA CLUBINE RECEIVED $204,634 IN COMPENSATION FROM BOONE COUNTY HOSPITAL FOR CEO SERVICES TO GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders 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 MONDAY 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 CORPORATION'S PROFITS, EXCESS DUES OR A SHARE OF THE CORPORATION'S NET ASSETS UPON DISSOLUTION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. ONCE ALL REVIEWS ARE COMPLETED, THE FINAL RETURN IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. THE FORM 990 IS THEN FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE CONFLICT-OF-INTEREST POLICY AND THE CONFLICT-OF-INTEREST DISCLOSURE FORM AND QUESTIONNAIRE ARE 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. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND 990 FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PROFESSIONAL FEES - Total Expense: 4179868, Program Service Expense: 4172797, Management and General Expenses: 7071, Fundraising Expenses: 0; CONTRACT SERVICES - Total Expense: 3026893, Program Service Expense: 1805833, Management and General Expenses: 1221060, Fundraising Expenses: 0;